03D2096164 CLIA NUMBER - WOODLAND PALMS

Laboratory Demographics

  • CLIA Code: 03D2096164
  • Facility Name: WOODLAND PALMS
  • Facility Address: 1020 N WOODLAND AVE
    TUCSON, AZ
    ZIP 85711
  • Facility Phone: 520 777-3198
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARY E. MIZER
  • NPI Number: 1962856260
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2096164
LAB Type Assisted Living Facility
Facility Name WOODLAND PALMS
Street 1020 N WOODLAND AVE
City TUCSON
State AZ
ZIP 85711
Phone 520 777-3198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Assisted Living Facility
Lab Director MARY E. MIZER

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