03D2205443 CLIA NUMBER - UROSOUTH PLLC

Laboratory Demographics

  • CLIA Code: 03D2205443
  • Facility Name: UROSOUTH PLLC
  • Facility Address: 6369 E TANQUE VERDE RD SUITE 160
    TUCSON, AZ
    ZIP 85715
  • Facility Phone: 520 333-4468
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERTO CORICA
  • NPI Number: 1386250835
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 03D2205443
LAB Type Physician Office
Facility Name UROSOUTH PLLC
Street 6369 E TANQUE VERDE RD SUITE 160
City TUCSON
State AZ
ZIP 85715
Phone 520 333-4468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Physician Office
Lab Director ALBERTO CORICA

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