03D0903056 CLIA NUMBER - ARIZONA OPHTHALMIC OUTPATIENT SURGERY

Laboratory Demographics

  • CLIA Code: 03D0903056
  • Facility Name: ARIZONA OPHTHALMIC OUTPATIENT SURGERY
  • Facility Address: 300 E OSBORN RD STE 102
    PHOENIX, AZ
    ZIP 85012
  • Facility Phone: 602 234-8478
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HENRY KWONG
  • NPI Number: 1760454557
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0903056
LAB Type Ambulatory Surgery Center
Facility Name ARIZONA OPHTHALMIC OUTPATIENT SURGERY
Street 300 E OSBORN RD STE 102
City PHOENIX
State AZ
ZIP 85012
Phone 602 234-8478
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Ambulatory Surgery Center
Lab Director HENRY KWONG

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