03D1055927 CLIA NUMBER - BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC

Laboratory Demographics

CLIA Number: 03D1055927

Facility Name: BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC

Facility Address:
3838 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719
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Facility Phone Number: 520 694-2873

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Accreditation

NPI Number: 1083140131

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D1055927
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS LLC
Street	3838 N CAMPBELL AVE
City	TUCSON
State	AZ
ZIP	85719
Phone	520 694-2873
CertificateType	1
CertificateEffectiveDate	7/5/2023
CertificateExpirationDate	7/4/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024