03D2234140 CLIA NUMBER - SPEEDWAY SURGICAL SPECIALISTS

Laboratory Demographics

  • CLIA Code: 03D2234140
  • Facility Name: SPEEDWAY SURGICAL SPECIALISTS
  • Facility Address: 6442 E SPEEDWAY BLVD STE 152
    TUCSON, AZ
    ZIP 85710
  • Facility Phone: 520 771-8175
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MATTHEW P. NAMANNY
  • NPI Number: 1508437385
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2234140
LAB Type Ambulatory Surgery Center
Facility Name SPEEDWAY SURGICAL SPECIALISTS
Street 6442 E SPEEDWAY BLVD STE 152
City TUCSON
State AZ
ZIP 85710
Phone 520 771-8175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Ambulatory Surgery Center
Lab Director MATTHEW P. NAMANNY

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