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

Laboratory Demographics

CLIA Number: 03D1014402

Facility Name: FOREST CANYON ENDOSCOPY AND SURGERY CENTER, PC

Facility Address:
560 N SWITZER CANYON DRIVE
FLAGSTAFF, AZ
ZIP 86001
Get Directions

Facility Phone Number: 928 774-3044

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1033370119

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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
CertificateType	4
CertificateEffectiveDate	7/3/2023
CertificateExpirationDate	7/2/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024