03D1107563 CLIA NUMBER - CARELON HEALTH

Laboratory Demographics

  • CLIA Code: 03D1107563
  • Facility Name: CARELON HEALTH
  • Facility Address: 7091 E SPEEDWAY BLVD
    TUCSON, AZ
    ZIP 85710
  • Facility Phone: 520 721-5777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL GROSHNER
  • NPI Number: 1528432598
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D1107563
LAB Type Physician Office
Facility Name CARELON HEALTH
Street 7091 E SPEEDWAY BLVD
City TUCSON
State AZ
ZIP 85710
Phone 520 721-5777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Physician Office
Lab Director MICHAEL GROSHNER

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