03D2030702 CLIA NUMBER - SCOTTSDALE ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 03D2030702
  • Facility Name: SCOTTSDALE ENDOSCOPY CENTER
  • Facility Address: 9787 N 91ST STE 103
    SCOTTSDALE, AZ
    ZIP 85258
  • Facility Phone: 480 657-0889
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DANIEL A. MELINE
  • NPI Number: 1275292229
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2030702
LAB Type Ambulatory Surgery Center
Facility Name SCOTTSDALE ENDOSCOPY CENTER
Street 9787 N 91ST STE 103
City SCOTTSDALE
State AZ
ZIP 85258
Phone 480 657-0889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Ambulatory Surgery Center
Lab Director DANIEL A. MELINE

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