03D1014402 CLIA NUMBER - FOREST CANYON ENDOSCOPY AND SURGERY CENTER, PC

Laboratory Demographics

  • CLIA Code: 03D1014402
  • Facility Name: FOREST CANYON ENDOSCOPY AND SURGERY CENTER, PC
  • Facility Address: 560 N SWITZER CANYON DRIVE
    FLAGSTAFF, AZ
    ZIP 86001
  • Facility Phone: 928 774-3044
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM J. BADGER
  • NPI Number: 1033370119
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D1014402
LAB Type Ambulatory Surgery Center
Facility Name FOREST CANYON ENDOSCOPY AND SURGERY CENTER, PC
Street 560 N SWITZER CANYON DRIVE
City FLAGSTAFF
State AZ
ZIP 86001
Phone 928 774-3044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM J. BADGER

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