03D2279731 CLIA NUMBER - AMERIPATH TUCSON INC

Laboratory Demographics

  • CLIA Code: 03D2279731
  • Facility Name: AMERIPATH TUCSON INC
  • Facility Address: 10714 E KINETIC DR
    MESA, AZ
    ZIP 85212
  • Facility Phone: 562 991-0429
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: KIM M. HIATT
  • NPI Number: 1720817125
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2279731
LAB Type Independent
Facility Name AMERIPATH TUCSON INC
Street 10714 E KINETIC DR
City MESA
State AZ
ZIP 85212
Phone 562 991-0429
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Independent
Lab Director KIM M. HIATT

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