03D2020926 CLIA NUMBER - PIMA HEART AND VASCULAR

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Laboratory Demographics

CLIA Number: 03D2020926

Facility Name: PIMA HEART AND VASCULAR

Facility Address:
1238 E ORANGE GROVE RD, STE 103
TUCSON, AZ
ZIP 85704
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Facility Phone Number: 520 838-3540

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1184078503

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2020926
LAB Type	Physician Office
Facility Name	PIMA HEART AND VASCULAR
Street	1238 E ORANGE GROVE RD, STE 103
City	TUCSON
State	AZ
ZIP	85704
Phone	520 838-3540
CertificateType	4
CertificateEffectiveDate	3/2/2023
CertificateExpirationDate	3/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024