03D2030702 CLIA NUMBER - SCOTTSDALE ENDOSCOPY CENTER

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Laboratory Demographics

CLIA Number: 03D2030702

Facility Name: SCOTTSDALE ENDOSCOPY CENTER

Facility Address:
9787 N 91ST STE 103
SCOTTSDALE, AZ
ZIP 85258
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Facility Phone Number: 480 657-0889

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1275292229

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

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