03D2098559 CLIA NUMBER - TWIN PEAKS FAMILY PRACTICE, PC

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Laboratory Demographics

CLIA Number: 03D2098559

Facility Name: TWIN PEAKS FAMILY PRACTICE, PC

Facility Address:
2055 W HOSPITAL DR, STE 195
TUCSON, AZ
ZIP 85704
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Facility Phone Number: 520 297-1595

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942521406

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	03D2098559
LAB Type	Physician Office
Facility Name	TWIN PEAKS FAMILY PRACTICE, PC
Street	2055 W HOSPITAL DR, STE 195
City	TUCSON
State	AZ
ZIP	85704
Phone	520 297-1595
CertificateType	4
CertificateEffectiveDate	7/9/2023
CertificateExpirationDate	7/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024