03D2106890 CLIA NUMBER - NORTHWEST PRIMARY CARE AT GATEWAY

Laboratory Demographics

CLIA Number: 03D2106890

Facility Name: NORTHWEST PRIMARY CARE AT GATEWAY

Facility Address:
6320 N LA CHOLLA BLVD, STE 370
TUCSON, AZ
ZIP 85704
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Facility Phone Number: (520) 797-5603

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1790822864

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2106890
LAB Type	PHYSICIAN OFFICE
Facility Name	NORTHWEST PRIMARY CARE AT GATEWAY
Street	6320 N LA CHOLLA BLVD, STE 370
City	TUCSON
State	AZ
ZIP	85704
Phone	(520) 797-5603

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