03D2229727 CLIA NUMBER - BSC REID PARK LLC

Laboratory Demographics

  • CLIA Code: 03D2229727
  • Facility Name: BSC REID PARK LLC
  • Facility Address: 717 S ALVERNON WAY
    TUCSON, AZ
    ZIP 85711
  • Facility Phone: 520 204-1495
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HEIDI TAVEL
  • NPI Number: 1508438375
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2229727
LAB Type Ambulatory Surgery Center
Facility Name BSC REID PARK LLC
Street 717 S ALVERNON WAY
City TUCSON
State AZ
ZIP 85711
Phone 520 204-1495
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Ambulatory Surgery Center
Lab Director HEIDI TAVEL

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