03D1088773 CLIA NUMBER - TUCSON FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 03D1088773
  • Facility Name: TUCSON FAMILY MEDICINE
  • Facility Address: 7105 N LA CHOLLA BLVD
    TUCSON, AZ
    ZIP 85741
  • Facility Phone: 520 547-0611
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARLES MICHIELI
  • NPI Number: 1841681988
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 03D1088773
LAB Type Physician Office
Facility Name TUCSON FAMILY MEDICINE
Street 7105 N LA CHOLLA BLVD
City TUCSON
State AZ
ZIP 85741
Phone 520 547-0611
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Physician Office
Lab Director CHARLES MICHIELI

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