03D1067206 CLIA NUMBER - AKDHC - TUCSON ST MARY'S

Laboratory Demographics

  • CLIA Code: 03D1067206
  • Facility Name: AKDHC - TUCSON ST MARY'S
  • Facility Address: 1704 W ANKLAM RD, #107
    TUCSON, AZ
    ZIP 85745
  • Facility Phone: 520 622-3569
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARRY KRIEBLE
  • NPI Number: 1841489275
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1067206
LAB Type Physician Office
Facility Name AKDHC - TUCSON ST MARY'S
Street 1704 W ANKLAM RD, #107
City TUCSON
State AZ
ZIP 85745
Phone 520 622-3569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director BARRY KRIEBLE

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