03D1060597 CLIA NUMBER - AKDHC SURGERY CENTER, LLC - BULLHEAD

Laboratory Demographics

  • CLIA Code: 03D1060597
  • Facility Name: AKDHC SURGERY CENTER, LLC - BULLHEAD
  • Facility Address: 2771 SILVER CREEK RD STE 100
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 602 200-8288
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PETER LEOPOLD
  • NPI Number: 1316464159
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1060597
LAB Type Ambulatory Surgery Center
Facility Name AKDHC SURGERY CENTER, LLC - BULLHEAD
Street 2771 SILVER CREEK RD STE 100
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 602 200-8288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Ambulatory Surgery Center
Lab Director PETER LEOPOLD

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