03D1063554 CLIA NUMBER - COMMUNITY HEALTH ACTION ON WHEELS

Laboratory Demographics

  • CLIA Code: 03D1063554
  • Facility Name: COMMUNITY HEALTH ACTION ON WHEELS
  • Facility Address: 1450 N CHERRY AVE
    TUCSON, AZ
    ZIP 85719
  • Facility Phone: 520 621-0088
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: RAVI P. GRIVOIS-SHAH
  • NPI Number: 1235660697
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D1063554
LAB Type Mobile Laboratory
Facility Name COMMUNITY HEALTH ACTION ON WHEELS
Street 1450 N CHERRY AVE
City TUCSON
State AZ
ZIP 85719
Phone 520 621-0088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Mobile Laboratory
Lab Director RAVI P. GRIVOIS-SHAH

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This page was last updated on: 9/29/2025