03D2125254 CLIA NUMBER - Community Partnership Care Coordination, Llc

Laboratory Demographics

CLIA Number: 03D2125254

Facility Name: Community Partnership Care Coordination, Llc

Facility Address:
5055 E Broadway, Ste A-200,
Tucson, AZ
ZIP 85711
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Facility Phone Number: (520) 325-4268

Facility Type: COMMUNITY CLINIC

Certificate Type: Waiver

NPI Number: 1528497690
261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name Field Value
CLIA Number 03D2125254
LAB Type COMMUNITY CLINIC
Facility Name Community Partnership Care Coordination, Llc
Street 5055 E Broadway, Ste A-200,
City Tucson
State AZ
ZIP 85711
Phone 5203254268

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