03D2126080 CLIA NUMBER - ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC

Laboratory Demographics

  • CLIA Code: 03D2126080
  • Facility Name: ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC
  • Facility Address: 5055 E BROADWAY BLVD, STE A200
    TUCSON, AZ
    ZIP 85711
  • Facility Phone: 520 721-1887
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TAMMY Y. KASTRE
  • NPI Number: 1023550910
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2126080
LAB Type Community Clinic
Facility Name ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC
Street 5055 E BROADWAY BLVD, STE A200
City TUCSON
State AZ
ZIP 85711
Phone 520 721-1887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Community Clinic
Lab Director TAMMY Y. KASTRE

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This page was last updated on: 3/20/2025