03D2117552 CLIA NUMBER - NORTHWEST URGENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 03D2117552
  • Facility Name: NORTHWEST URGENT CARE, LLC
  • Facility Address: 3630 W TANGERINE RD, #100
    MARANA, AZ
    ZIP 85658
  • Facility Phone: 520 744-3207
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: JESSICA HALOSKIE
  • NPI Number: 1528683455
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2117552
LAB Type Other - URGENT CARE
Facility Name NORTHWEST URGENT CARE, LLC
Street 3630 W TANGERINE RD, #100
City MARANA
State AZ
ZIP 85658
Phone 520 744-3207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Other - URGENT CARE
Lab Director JESSICA HALOSKIE

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