03D1077872 CLIA NUMBER - NORTHWEST TUCSON DIALYSIS

Laboratory Demographics

  • CLIA Code: 03D1077872
  • Facility Name: NORTHWEST TUCSON DIALYSIS
  • Facility Address: 2945 W INA, STE 105
    TUCSON, AZ
    ZIP 85741
  • Facility Phone: 520 797-0049
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARK OLIVER
  • NPI Number: 1972791424
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D1077872
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTHWEST TUCSON DIALYSIS
Street 2945 W INA, STE 105
City TUCSON
State AZ
ZIP 85741
Phone 520 797-0049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARK OLIVER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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