03D2115204 CLIA NUMBER - Mirasol Eating Disorder Recovery Cente

Laboratory Demographics

CLIA Number: 03D2115204

Facility Name: Mirasol Eating Disorder Recovery Cente

Facility Address:
1515 E Kleindale Rd
Tucson, AZ
ZIP 85719
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Facility Phone Number: (520) 546-3200

Facility Type: OTHER

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 03D2115204
LAB Type OTHER
Facility Name Mirasol Eating Disorder Recovery Cente
Street 1515 E Kleindale Rd
City Tucson
State AZ
ZIP 85719
Phone (520) 546-3200

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This page was last updated on: 4/7/2021