03D1029540 CLIA NUMBER - MESA AZ ENDOSCOPY ASC, LLC, THE DBA DESERT ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 03D1029540
  • Facility Name: MESA AZ ENDOSCOPY ASC, LLC, THE DBA DESERT ENDOSCOPY CENTER
  • Facility Address: 603 WEST BASELINE ROAD, STE 101
    MESA, AZ
    ZIP 85210
  • Facility Phone: 480 969-0405
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NILAY KAVATHIA
  • NPI Number: 1770557233
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D1029540
LAB Type Ambulatory Surgery Center
Facility Name MESA AZ ENDOSCOPY ASC, LLC, THE DBA DESERT ENDOSCOPY CENTER
Street 603 WEST BASELINE ROAD, STE 101
City MESA
State AZ
ZIP 85210
Phone 480 969-0405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Ambulatory Surgery Center
Lab Director NILAY KAVATHIA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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