03D2108233 CLIA NUMBER - MARIPOSA TUBAC REGIONAL HEALTH CENTER

Laboratory Demographics

CLIA Number: 03D2108233

Facility Name: MARIPOSA TUBAC REGIONAL HEALTH CENTER

Facility Address:
2239 E FRONTAGE RD
TUBAC, AZ
ZIP 85646
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Facility Phone Number: (520) 281-1550

Facility Type: COMMUNITY CLINIC

Certificate Type: Waiver

NPI Number: 1366050536

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 03D2108233
LAB Type COMMUNITY CLINIC
Facility Name MARIPOSA TUBAC REGIONAL HEALTH CENTER
Street 2239 E FRONTAGE RD
City TUBAC
State AZ
ZIP 85646
Phone (520) 281-1550

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