03D2008282 CLIA NUMBER - AKDHC- TUCSON EAST

Laboratory Demographics

  • CLIA Code: 03D2008282
  • Facility Name: AKDHC- TUCSON EAST
  • Facility Address: 5891 E GRANT RD STE 109
    TUCSON, AZ
    ZIP 85712
  • Facility Phone: 602 997-0484
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARY BELEN
  • NPI Number: 1043556327
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2008282
LAB Type Physician Office
Facility Name AKDHC- TUCSON EAST
Street 5891 E GRANT RD STE 109
City TUCSON
State AZ
ZIP 85712
Phone 602 997-0484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director CARY BELEN

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