03D2289424 CLIA NUMBER - PANDA CORE FOR GENOMICS AND MICROBIOME RESEARCH

Laboratory Demographics

  • CLIA Code: 03D2289424
  • Facility Name: PANDA CORE FOR GENOMICS AND MICROBIOME RESEARCH
  • Facility Address: 1501 N CAMPBELL AVE CRC RM 4352
    TUCSON, AZ
    ZIP 85724
  • Facility Phone: 520 626-1401
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. OWATHA L. TATUM
  • NPI Number: 1376362152
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2289424
LAB Type Independent
Facility Name PANDA CORE FOR GENOMICS AND MICROBIOME RESEARCH
Street 1501 N CAMPBELL AVE CRC RM 4352
City TUCSON
State AZ
ZIP 85724
Phone 520 626-1401
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Independent
Lab Director DR. OWATHA L. TATUM

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This page was last updated on: 3/20/2025