03D2094666 CLIA NUMBER - DIVINE FAMILY CARE-CASA ESTRELLA

Laboratory Demographics

  • CLIA Code: 03D2094666
  • Facility Name: DIVINE FAMILY CARE-CASA ESTRELLA
  • Facility Address: 1601 N ORACLE RD
    TUCSON, AZ
    ZIP 85705
  • Facility Phone: 602 805-6677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIEGO NARANJO
  • NPI Number: 1639627789
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D2094666
LAB Type Physician Office
Facility Name DIVINE FAMILY CARE-CASA ESTRELLA
Street 1601 N ORACLE RD
City TUCSON
State AZ
ZIP 85705
Phone 602 805-6677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director DIEGO NARANJO

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