03D2021211 CLIA NUMBER - AZ WEST ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 03D2021211
  • Facility Name: AZ WEST ENDOSCOPY CENTER LLC
  • Facility Address: 1850 NORTH 95TH AVE, STE 190
    PHOENIX, AZ
    ZIP 85037
  • Facility Phone: 623 594-4060
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KANDARP R. PATEL
  • NPI Number: 1790093813
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2021211
LAB Type Ambulatory Surgery Center
Facility Name AZ WEST ENDOSCOPY CENTER LLC
Street 1850 NORTH 95TH AVE, STE 190
City PHOENIX
State AZ
ZIP 85037
Phone 623 594-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Ambulatory Surgery Center
Lab Director KANDARP R. PATEL

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