03D1103484 CLIA NUMBER - FLAGSTAFF SURGICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 03D1103484
  • Facility Name: FLAGSTAFF SURGICAL ASSOCIATES
  • Facility Address: 77 W FOREST AVE SUITE 201
    FLAGSTAFF, AZ
    ZIP 86001
  • Facility Phone: 928 773-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM BADGER
  • NPI Number: 1114995271
  • Taxonomy: 2086S0102X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 03D1103484
LAB Type Physician Office
Facility Name FLAGSTAFF SURGICAL ASSOCIATES
Street 77 W FOREST AVE SUITE 201
City FLAGSTAFF
State AZ
ZIP 86001
Phone 928 773-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director WILLIAM BADGER

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