03D1077959 CLIA NUMBER - SOUTHWEST ENDOSCOPY, LLC

Laboratory Demographics

  • CLIA Code: 03D1077959
  • Facility Name: SOUTHWEST ENDOSCOPY, LLC
  • Facility Address: 2223 EAST BASELINE ROAD, STE B
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 480 289-5266
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KARUKURICHI S. VENKATESH, MD
  • NPI Number: 1386277069
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1077959
LAB Type Ambulatory Surgery Center
Facility Name SOUTHWEST ENDOSCOPY, LLC
Street 2223 EAST BASELINE ROAD, STE B
City GILBERT
State AZ
ZIP 85234
Phone 480 289-5266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Ambulatory Surgery Center
Lab Director KARUKURICHI S. VENKATESH, MD

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