03D2136163 CLIA NUMBER - CENTER AT TUCSON, THE

Laboratory Demographics

  • CLIA Code: 03D2136163
  • Facility Name: CENTER AT TUCSON, THE
  • Facility Address: 5020 E GLENN ST
    TUCSON, AZ
    ZIP 85712
  • Facility Phone: 719 900-1398
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BARTOLOME A. ESMAS
  • NPI Number: 1700325057
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2136163
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTER AT TUCSON, THE
Street 5020 E GLENN ST
City TUCSON
State AZ
ZIP 85712
Phone 719 900-1398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BARTOLOME A. ESMAS

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This page was last updated on: 9/29/2025