03D2117604 CLIA NUMBER - TUCSON MEDICAL CENTER DBA TMC ENDOCRINOLOGY

Laboratory Demographics

CLIA Number: 03D2117604

Facility Name: TUCSON MEDICAL CENTER DBA TMC ENDOCRINOLOGY

Facility Address:
2380 N FERGUSON STE 104
TUCSON, AZ
ZIP 85712
Get Directions

Facility Phone Number: 520 324-1010

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750832283

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2117604
LAB Type	Physician Office
Facility Name	TUCSON MEDICAL CENTER DBA TMC ENDOCRINOLOGY
Street	2380 N FERGUSON STE 104
City	TUCSON
State	AZ
ZIP	85712
Phone	520 324-1010
CertificateType	4
CertificateEffectiveDate	8/19/2022
CertificateExpirationDate	8/18/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024