03D2133238 CLIA NUMBER - CARBON HEALTH

Laboratory Demographics

  • CLIA Code: 03D2133238
  • Facility Name: CARBON HEALTH
  • Facility Address: 6572 E GRANT RD, STE 130
    TUCSON, AZ
    ZIP 85715
  • Facility Phone: 415 200-2099
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SUJAL MANDAVIA
  • NPI Number: 1396317079
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2133238
LAB Type Other - URGENT CARE
Facility Name CARBON HEALTH
Street 6572 E GRANT RD, STE 130
City TUCSON
State AZ
ZIP 85715
Phone 415 200-2099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Other - URGENT CARE
Lab Director SUJAL MANDAVIA

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