03D2113734 CLIA NUMBER - BANNER - UNIVERSITY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 03D2113734
  • Facility Name: BANNER - UNIVERSITY MEDICAL GROUP
  • Facility Address: 535 N WILMOT RD, 2ND FLOOR
    TUCSON, AZ
    ZIP 85711
  • Facility Phone: 520 694-1234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORDAN F. KARP
  • NPI Number: 1922660109
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2113734
LAB Type Physician Office
Facility Name BANNER - UNIVERSITY MEDICAL GROUP
Street 535 N WILMOT RD, 2ND FLOOR
City TUCSON
State AZ
ZIP 85711
Phone 520 694-1234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Physician Office
Lab Director JORDAN F. KARP

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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