03D1053015 CLIA NUMBER - PHYSICIANS' SURGERY CENTER PRE AND POST OPERATIVE AREAS

Laboratory Demographics

  • CLIA Code: 03D1053015
  • Facility Name: PHYSICIANS' SURGERY CENTER PRE AND POST OPERATIVE AREAS
  • Facility Address: 1800 HWY 95
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 928 763-1919
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SCOTT A. GLESMANN
  • NPI Number: 1821166521
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1053015
LAB Type Community Clinic
Facility Name PHYSICIANS' SURGERY CENTER PRE AND POST OPERATIVE AREAS
Street 1800 HWY 95
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 928 763-1919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Community Clinic
Lab Director SCOTT A. GLESMANN

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