03D2101903 CLIA NUMBER - Dr Gann's Diet Of Hope

Laboratory Demographics

CLIA Number: 03D2101903

Facility Name: Dr Gann's Diet Of Hope

Facility Address:
2096 N Kolb Rd, Ste 107
Tucson, AZ
ZIP 85715
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Facility Phone Number: (520) 696-3438

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1780943696

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 03D2101903
LAB Type PHYSICIAN OFFICE
Facility Name Dr Gann's Diet Of Hope
Street 2096 N Kolb Rd, Ste 107
City Tucson
State AZ
ZIP 85715
Phone (520) 696-3438

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This page was last updated on: 4/7/2021