03D2011068 CLIA NUMBER - ADOBE SURGERY CENTER, PC

Laboratory Demographics

  • CLIA Code: 03D2011068
  • Facility Name: ADOBE SURGERY CENTER, PC
  • Facility Address: 2585 N WYATT DR
    TUCSON, AZ
    ZIP 85712
  • Facility Phone: 520 721-2728
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SAM E. MOUSSA
  • NPI Number: 1205821097
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2011068
LAB Type Ambulatory Surgery Center
Facility Name ADOBE SURGERY CENTER, PC
Street 2585 N WYATT DR
City TUCSON
State AZ
ZIP 85712
Phone 520 721-2728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Ambulatory Surgery Center
Lab Director SAM E. MOUSSA

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