03D2113739 CLIA NUMBER - FAMILY VISION SOURCE

Laboratory Demographics

  • CLIA Code: 03D2113739
  • Facility Name: FAMILY VISION SOURCE
  • Facility Address: 7475 E TANQUE VERDE RD
    TUCSON, AZ
    ZIP 85715
  • Facility Phone: 520 663-5393
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CURTIS P. DECHANT
  • NPI Number: 1578646923
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 03D2113739
LAB Type Practitioner Other
Facility Name FAMILY VISION SOURCE
Street 7475 E TANQUE VERDE RD
City TUCSON
State AZ
ZIP 85715
Phone 520 663-5393
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 Practitioner Other
Lab Director CURTIS P. DECHANT

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This page was last updated on: 9/29/2025