03D2072932 CLIA NUMBER - MOUNTAIN VIEW SURGERY CENTER-GLENDALE

Laboratory Demographics

  • CLIA Code: 03D2072932
  • Facility Name: MOUNTAIN VIEW SURGERY CENTER-GLENDALE
  • Facility Address: 18555 N 79TH AVE STE C104
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 623 776-2500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CRAIG I. SARAN
  • NPI Number: 1194186312
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2072932
LAB Type Ambulatory Surgery Center
Facility Name MOUNTAIN VIEW SURGERY CENTER-GLENDALE
Street 18555 N 79TH AVE STE C104
City GLENDALE
State AZ
ZIP 85308
Phone 623 776-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Ambulatory Surgery Center
Lab Director CRAIG I. SARAN

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