03D2024196 CLIA NUMBER - SAN TAN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 03D2024196
  • Facility Name: SAN TAN SURGERY CENTER
  • Facility Address: 1704 EAST BOSTON STREET
    GILBERT, AZ
    ZIP 85295
  • Facility Phone: 480 656-8600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DEBORAH J. SCHMOLDT
  • NPI Number: 1033400619
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2024196
LAB Type Ambulatory Surgery Center
Facility Name SAN TAN SURGERY CENTER
Street 1704 EAST BOSTON STREET
City GILBERT
State AZ
ZIP 85295
Phone 480 656-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2023
Certificate Expiration Date 5/10/2025
Facility Type Ambulatory Surgery Center
Lab Director DEBORAH J. SCHMOLDT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025