03D2244586 CLIA NUMBER - EASTERSEALS BLAKE FOUNDATION

Laboratory Demographics

  • CLIA Code: 03D2244586
  • Facility Name: EASTERSEALS BLAKE FOUNDATION
  • Facility Address: 7750 E BROADWAY BLVD STE A100
    TUCSON, AZ
    ZIP 85710
  • Facility Phone: 520 449-8555
  • Facility Type: Other - OTC
  • Facility Type: Waiver
  • Lab Director: SALLY A. BOEVE
  • NPI Number: 1932530797
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2244586
LAB Type Other - OTC
Facility Name EASTERSEALS BLAKE FOUNDATION
Street 7750 E BROADWAY BLVD STE A100
City TUCSON
State AZ
ZIP 85710
Phone 520 449-8555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Other - OTC
Lab Director SALLY A. BOEVE

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