03D1007506 CLIA NUMBER - EAST VALLEY ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 03D1007506
  • Facility Name: EAST VALLEY ENDOSCOPY
  • Facility Address: 6020 E ARBOR AVE SUITE 105
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 830-2005
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM J. EGAN
  • NPI Number: 1164414447
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1007506
LAB Type Ambulatory Surgery Center
Facility Name EAST VALLEY ENDOSCOPY
Street 6020 E ARBOR AVE SUITE 105
City MESA
State AZ
ZIP 85206
Phone 480 830-2005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM J. EGAN

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