03D2118151 CLIA NUMBER - DODGE CENTER

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CLIA Record

Field Name Field Value
CLIA Number 03D2118151
LAB Type Other - MENTAL HEALTH FACILITY
Facility Name DODGE CENTER
Street 2950 N DODGE BLVD
City TUCSON
State AZ
ZIP 85716
Phone 480 831-7566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Other - MENTAL HEALTH FACILITY
Lab Director EMILY KOCH

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This page was last updated on: 3/20/2025