03D2126022 CLIA NUMBER - PIMA HEART ASC, LLC

Laboratory Demographics

  • CLIA Code: 03D2126022
  • Facility Name: PIMA HEART ASC, LLC
  • Facility Address: 1238 W ORANGE GROVE RD, STE 101
    TUCSON, AZ
    ZIP 85704
  • Facility Phone: 520 838-2300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: MUKESH GOPALAKRISHNAN
  • NPI Number: 1184078503
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2126022
LAB Type Ambulatory Surgery Center
Facility Name PIMA HEART ASC, LLC
Street 1238 W ORANGE GROVE RD, STE 101
City TUCSON
State AZ
ZIP 85704
Phone 520 838-2300
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/30/2023
Certificate Expiration Date 6/30/2025
Facility Type Ambulatory Surgery Center
Lab Director MUKESH GOPALAKRISHNAN

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