03D1088524 CLIA NUMBER - TUCSON CENTRAL DIALYSIS

Laboratory Demographics

CLIA Number: 03D1088524

Facility Name: TUCSON CENTRAL DIALYSIS

Facility Address:
2901 E GRANT RD
TUCSON, AZ
ZIP 85716
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Facility Phone Number: 520 325-3408

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1952679771

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D1088524
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	TUCSON CENTRAL DIALYSIS
Street	2901 E GRANT RD
City	TUCSON
State	AZ
ZIP	85716
Phone	520 325-3408
CertificateType	4
CertificateEffectiveDate	8/27/2022
CertificateExpirationDate	8/26/2024
FacilityType	Waiver

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