03D2109050 CLIA NUMBER - COMMUNITY MEDICAL SERVICES TUCSON ON CARONDELET

Laboratory Demographics

  • CLIA Code: 03D2109050
  • Facility Name: COMMUNITY MEDICAL SERVICES TUCSON ON CARONDELET
  • Facility Address: 6626 E CARONDELET DR
    TUCSON, AZ
    ZIP 85710
  • Facility Phone: 602 248-8886
  • Facility Type: Other - OUTPATIENT TREATMENT PGM
  • Facility Type: Waiver
  • Lab Director: JUSTIN M. ABEYTA
  • NPI Number: 1801420849
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2109050
LAB Type Other - OUTPATIENT TREATMENT PGM
Facility Name COMMUNITY MEDICAL SERVICES TUCSON ON CARONDELET
Street 6626 E CARONDELET DR
City TUCSON
State AZ
ZIP 85710
Phone 602 248-8886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Other - OUTPATIENT TREATMENT PGM
Lab Director JUSTIN M. ABEYTA

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This page was last updated on: 6/4/2025