03D2123815 CLIA NUMBER - CARBON HEALTH - BROADWAY BLVD

Laboratory Demographics

CLIA Number: 03D2123815

Facility Name: CARBON HEALTH - BROADWAY BLVD

Facility Address:
6303 E BROADWAY BLVD, STE 161
TUCSON, AZ
ZIP 85710
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Facility Phone Number: (415) 200-2099

Facility Type: MOBILE LAB

Certificate Type: Waiver

NPI Number: 1396317079

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2123815
LAB Type	MOBILE LAB
Facility Name	CARBON HEALTH - BROADWAY BLVD
Street	6303 E BROADWAY BLVD, STE 161
City	TUCSON
State	AZ
ZIP	85710
Phone	(415) 200-2099

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This page was last updated on: 5/11/2023