03D2128584 CLIA NUMBER - CARDIAC REHAB AT NORTHWEST

Laboratory Demographics

  • CLIA Code: 03D2128584
  • Facility Name: CARDIAC REHAB AT NORTHWEST
  • Facility Address: 1980 W HOSPITAL DR, STE 103
    TUCSON, AZ
    ZIP 85741
  • Facility Phone: 520 469-8655
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MATTHEW PRALL

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CLIA Record

Field Name Field Value
CLIA Number 03D2128584
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CARDIAC REHAB AT NORTHWEST
Street 1980 W HOSPITAL DR, STE 103
City TUCSON
State AZ
ZIP 85741
Phone 520 469-8655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MATTHEW PRALL

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