03D2128905 CLIA NUMBER - NORTHWEST ALLIED PHYSICIANS VAIL

Laboratory Demographics

CLIA Number: 03D2128905

Facility Name: NORTHWEST ALLIED PHYSICIANS VAIL

Facility Address:
10120 E OLD VAIL RD, STE 100
TUCSON, AZ
ZIP 85747
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Facility Phone Number: (520) 989-8012

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1952789034

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	03D2128905
LAB Type	PHYSICIAN OFFICE
Facility Name	NORTHWEST ALLIED PHYSICIANS VAIL
Street	10120 E OLD VAIL RD, STE 100
City	TUCSON
State	AZ
ZIP	85747
Phone	(520) 989-8012

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This page was last updated on: 5/11/2023