03D2101903 CLIA NUMBER - DR GANN'S DIET OF HOPE

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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: 5/11/2023