03D2101405 CLIA NUMBER - LA FRONTERA CENTER, INC

Laboratory Demographics

  • CLIA Code: 03D2101405
  • Facility Name: LA FRONTERA CENTER, INC
  • Facility Address: 504 W 29TH ST
    TUCSON, AZ
    ZIP 85713
  • Facility Phone: 520 838-5600
  • Facility Type: Other - BEHAVIORAL HEALTH OUTPATI
  • Facility Type: Waiver
  • Lab Director: WEN CAI
  • NPI Number: 1013103530
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 03D2101405
LAB Type Other - BEHAVIORAL HEALTH OUTPATI
Facility Name LA FRONTERA CENTER, INC
Street 504 W 29TH ST
City TUCSON
State AZ
ZIP 85713
Phone 520 838-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Other - BEHAVIORAL HEALTH OUTPATI
Lab Director WEN CAI

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