03D2119201 CLIA NUMBER - Southern Arizona Integrated Medicine, Llc

Laboratory Demographics

CLIA Number: 03D2119201

Facility Name: Southern Arizona Integrated Medicine, Llc

Facility Address:
1604 N Country Club Rd,
Tucson, AZ
ZIP 85716
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Facility Phone Number: (520) 203-8680

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1477900348
103TP2701X - Psychologist

CLIA Record

Field Name Field Value
CLIA Number 03D2119201
LAB Type OTHER
Facility Name Southern Arizona Integrated Medicine, Llc
Street 1604 N Country Club Rd,
City Tucson
State AZ
ZIP 85716
Phone 5202038680

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This page was last updated on: 5/19/2019