03D2050564 CLIA NUMBER - CARELON HEALTH

Laboratory Demographics

  • CLIA Code: 03D2050564
  • Facility Name: CARELON HEALTH
  • Facility Address: 4821 N STONE AVE
    TUCSON, AZ
    ZIP 85704
  • Facility Phone: 520 314-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL GROSHNER
  • NPI Number: 1700250776
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 03D2050564
LAB Type Physician Office
Facility Name CARELON HEALTH
Street 4821 N STONE AVE
City TUCSON
State AZ
ZIP 85704
Phone 520 314-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director MICHAEL GROSHNER

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