03D1081561 CLIA NUMBER - SOUTHEAST VALLEY ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 03D1081561
  • Facility Name: SOUTHEAST VALLEY ENDOSCOPY CENTER
  • Facility Address: 875 S DOBSON RD
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 855-2033
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: G ALAN BRACHER MD
  • NPI Number: 1699943290
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1081561
LAB Type Ambulatory Surgery Center
Facility Name SOUTHEAST VALLEY ENDOSCOPY CENTER
Street 875 S DOBSON RD
City CHANDLER
State AZ
ZIP 85224
Phone 480 855-2033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Ambulatory Surgery Center
Lab Director G ALAN BRACHER MD

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