03D2003869 CLIA NUMBER - TUCSON PHYSICIAN GROUP HOLDINGS, LLC DBA CARONDELET MEDICAL GROUP LABORATORY

Laboratory Demographics

  • CLIA Code: 03D2003869
  • Facility Name: TUCSON PHYSICIAN GROUP HOLDINGS, LLC DBA CARONDELET MEDICAL GROUP LABORATORY
  • Facility Address: 4892 N STONE AVE STE 100
    TUCSON, AZ
    ZIP 85704
  • Facility Phone: 520 872-5650
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. KERMIT MURRAY
  • NPI Number: 1245586759
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2003869
LAB Type Physician Office
Facility Name TUCSON PHYSICIAN GROUP HOLDINGS, LLC DBA CARONDELET MEDICAL GROUP LABORATORY
Street 4892 N STONE AVE STE 100
City TUCSON
State AZ
ZIP 85704
Phone 520 872-5650
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director DR. KERMIT MURRAY

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