03D1057109 CLIA NUMBER - CENTRAL ARIZONA ENDOSCOPY, LLC

Laboratory Demographics

  • CLIA Code: 03D1057109
  • Facility Name: CENTRAL ARIZONA ENDOSCOPY, LLC
  • Facility Address: 2158 N GILBERT RD, BLDG 1, #103
    MESA, AZ
    ZIP 85203
  • Facility Phone: 877 442-3687
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID A. TESSLER
  • NPI Number: 1386020519
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 03D1057109
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL ARIZONA ENDOSCOPY, LLC
Street 2158 N GILBERT RD, BLDG 1, #103
City MESA
State AZ
ZIP 85203
Phone 877 442-3687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID A. TESSLER

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