03D2097735 CLIA NUMBER - ONE MEDICAL - BROADWAY

Laboratory Demographics

  • CLIA Code: 03D2097735
  • Facility Name: ONE MEDICAL - BROADWAY
  • Facility Address: 8616 E BROADWAY BLVD
    TUCSON, AZ
    ZIP 85710
  • Facility Phone: 520 389-6183
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN PO
  • NPI Number: 1003292244
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2097735
LAB Type Physician Office
Facility Name ONE MEDICAL - BROADWAY
Street 8616 E BROADWAY BLVD
City TUCSON
State AZ
ZIP 85710
Phone 520 389-6183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2023
Certificate Expiration Date 5/15/2025
Facility Type Physician Office
Lab Director JOHN PO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025