03D2256725 CLIA NUMBER - TANGERINE DENTAL GROUP

Laboratory Demographics

  • CLIA Code: 03D2256725
  • Facility Name: TANGERINE DENTAL GROUP
  • Facility Address: 1880 E TANGERINE RD STE 190
    ORO VALLEY, AZ
    ZIP 85755
  • Facility Phone: 520 544-5590
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SHAHARYAR ASHRAF
  • NPI Number: 1043459738
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 03D2256725
LAB Type Practitioner Other
Facility Name TANGERINE DENTAL GROUP
Street 1880 E TANGERINE RD STE 190
City ORO VALLEY
State AZ
ZIP 85755
Phone 520 544-5590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Practitioner Other
Lab Director SHAHARYAR ASHRAF

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