03D2126080 CLIA NUMBER - ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC

Laboratory Demographics

CLIA Number: 03D2126080

Facility Name: ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC

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 TREATMENT, LLC
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: 5/11/2023