03D1104313 CLIA NUMBER - ELLEN EICHLER, MD

Laboratory Demographics

  • CLIA Code: 03D1104313
  • Facility Name: ELLEN EICHLER, MD
  • Facility Address: 6367 E TANQUE VERDE, #110
    TUCSON, AZ
    ZIP 85715
  • Facility Phone: 520 298-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLEN M. EICHLER, MD
  • NPI Number: 1164478202
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1104313
LAB Type Physician Office
Facility Name ELLEN EICHLER, MD
Street 6367 E TANQUE VERDE, #110
City TUCSON
State AZ
ZIP 85715
Phone 520 298-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director ELLEN M. EICHLER, MD

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