03D0997453 CLIA NUMBER - NEW IMAGE PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 03D0997453
  • Facility Name: NEW IMAGE PLASTIC SURGERY
  • Facility Address: 7425 E SHEA BLVD #105
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 480 596-6886
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEVEN H. WIENER
  • NPI Number: 1396013389
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0997453
LAB Type Ambulatory Surgery Center
Facility Name NEW IMAGE PLASTIC SURGERY
Street 7425 E SHEA BLVD #105
City SCOTTSDALE
State AZ
ZIP 85260
Phone 480 596-6886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Ambulatory Surgery Center
Lab Director STEVEN H. WIENER

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