03D2126080 CLIA NUMBER - Assurance Assertive Community Treatmen

Laboratory Demographics

CLIA Number: 03D2126080

Facility Name: Assurance Assertive Community Treatmen

Facility Address:
5055 E Broadway Blvd, Ste A200
Tucson, AZ
ZIP 85711
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Facility Phone Number: (520) 721-1887

Facility Type: COMMUNITY CLINIC

Certificate Type: Waiver

NPI Number: 1023550910

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2126080
LAB Type	COMMUNITY CLINIC
Facility Name	Assurance Assertive Community Treatmen
Street	5055 E Broadway Blvd, Ste A200
City	Tucson
State	AZ
ZIP	85711
Phone	(520) 721-1887

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This page was last updated on: 4/7/2021