03D0943566 CLIA NUMBER - SQUAW PEAK SURGICAL FACILITY

Laboratory Demographics

  • CLIA Code: 03D0943566
  • Facility Name: SQUAW PEAK SURGICAL FACILITY
  • Facility Address: 1635 E MYRTLE STE 100
    PHOENIX, AZ
    ZIP 85020
  • Facility Phone: 602 944-5656
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANTHONY T. YEUNG MD
  • NPI Number: 1871513705
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0943566
LAB Type Ambulatory Surgery Center
Facility Name SQUAW PEAK SURGICAL FACILITY
Street 1635 E MYRTLE STE 100
City PHOENIX
State AZ
ZIP 85020
Phone 602 944-5656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Ambulatory Surgery Center
Lab Director ANTHONY T. YEUNG MD

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