03D2104457 CLIA NUMBER - EL CON HEALTH & WELLNESS

Laboratory Demographics

CLIA Number: 03D2104457

Facility Name: EL CON HEALTH & WELLNESS

Facility Address:
3402 E BROADWAY BLVD
TUCSON, AZ
ZIP 85716
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Facility Phone Number: (520) 318-5515

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1255714010

Taxonomy: 363LX0001X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	03D2104457
LAB Type	PHYSICIAN OFFICE
Facility Name	EL CON HEALTH & WELLNESS
Street	3402 E BROADWAY BLVD
City	TUCSON
State	AZ
ZIP	85716
Phone	(520) 318-5515

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This page was last updated on: 5/11/2023