03D1098919 CLIA NUMBER - LASER SURGERY HOLDING COMPANY DBA LASER SURGREY HOLDING COMPANY

Laboratory Demographics

CLIA Number: 03D1098919

Facility Name: LASER SURGERY HOLDING COMPANY DBA LASER SURGREY HOLDING COMPANY

Facility Address:
10255 N 32 ND ST
PHOENIX, AZ
ZIP 85028
Get Directions

Facility Phone Number: 602 258-7003

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1083060107

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D1098919
LAB Type	Ambulatory Surgery Center
Facility Name	LASER SURGERY HOLDING COMPANY DBA LASER SURGREY HOLDING COMPANY
Street	10255 N 32 ND ST
City	PHOENIX
State	AZ
ZIP	85028
Phone	602 258-7003
CertificateType	4
CertificateEffectiveDate	4/30/2023
CertificateExpirationDate	4/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024