03D2122515 CLIA NUMBER - TOOLE OUTPATIENT SERVICE CENTER

Laboratory Demographics

  • CLIA Code: 03D2122515
  • Facility Name: TOOLE OUTPATIENT SERVICE CENTER
  • Facility Address: 250 S TOOLE AVE
    TUCSON, AZ
    ZIP 85701
  • Facility Phone: 480 831-7566
  • Facility Type: Other - MENTAL HEALTH FACILITY
  • Facility Type: Waiver
  • Lab Director: EMILY KOCH
  • NPI Number: 1427596196
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2122515
LAB Type Other - MENTAL HEALTH FACILITY
Facility Name TOOLE OUTPATIENT SERVICE CENTER
Street 250 S TOOLE AVE
City TUCSON
State AZ
ZIP 85701
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 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Other - MENTAL HEALTH FACILITY
Lab Director EMILY KOCH

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