03D2150072 CLIA NUMBER - BROOKDALE TANQUE VERDE

Laboratory Demographics

  • CLIA Code: 03D2150072
  • Facility Name: BROOKDALE TANQUE VERDE
  • Facility Address: 9050 E TANQUE VERDE RD
    TUCSON, AZ
    ZIP 85749
  • Facility Phone: 520 749-9200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DALE VETTORI
  • NPI Number: 1659602183
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2150072
LAB Type Assisted Living Facility
Facility Name BROOKDALE TANQUE VERDE
Street 9050 E TANQUE VERDE RD
City TUCSON
State AZ
ZIP 85749
Phone 520 749-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Assisted Living Facility
Lab Director DALE VETTORI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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