03D1018953 CLIA NUMBER - PHOENIX ENDOSCOPY LLC

Laboratory Demographics

  • CLIA Code: 03D1018953
  • Facility Name: PHOENIX ENDOSCOPY LLC
  • Facility Address: 349 E CORONADO ROAD
    PHOENIX, AZ
    ZIP 85004
  • Facility Phone: 602 266-5678
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL M. MILLS, MD
  • NPI Number: 1851516728
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1018953
LAB Type Ambulatory Surgery Center
Facility Name PHOENIX ENDOSCOPY LLC
Street 349 E CORONADO ROAD
City PHOENIX
State AZ
ZIP 85004
Phone 602 266-5678
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL M. MILLS, MD

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