03D2080376 CLIA NUMBER - DESERT MOUNTAIN UROLOGY

Laboratory Demographics

  • CLIA Code: 03D2080376
  • Facility Name: DESERT MOUNTAIN UROLOGY
  • Facility Address: 5170 E GLENN ST STE 100
    TUCSON, AZ
    ZIP 85712
  • Facility Phone: 520 321-4266
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY H. CHAVEZ
  • NPI Number: 1689087694
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 03D2080376
LAB Type Physician Office
Facility Name DESERT MOUNTAIN UROLOGY
Street 5170 E GLENN ST STE 100
City TUCSON
State AZ
ZIP 85712
Phone 520 321-4266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director ANTHONY H. CHAVEZ

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This page was last updated on: 6/4/2025