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: 4/7/2021