03D2149147 CLIA NUMBER - BROOKDALE NORTH TUCSON

Laboratory Demographics

  • CLIA Code: 03D2149147
  • Facility Name: BROOKDALE NORTH TUCSON
  • Facility Address: 2650 W INA RD
    TUCSON, AZ
    ZIP 85741
  • Facility Phone: 520 229-0232
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. MANSFIELD
  • NPI Number: 1194056622
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2149147
LAB Type Assisted Living Facility
Facility Name BROOKDALE NORTH TUCSON
Street 2650 W INA RD
City TUCSON
State AZ
ZIP 85741
Phone 520 229-0232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Assisted Living Facility
Lab Director JENNIFER L. MANSFIELD

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