03D2078143 CLIA NUMBER - SURGCENTER CAMELBACK, LLC

Laboratory Demographics

  • CLIA Code: 03D2078143
  • Facility Name: SURGCENTER CAMELBACK, LLC
  • Facility Address: 6245 N 24TH PKWY, STE 112
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 602 510-3203
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JUSTIN FIELD
  • NPI Number: 1407275282
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2078143
LAB Type Ambulatory Surgery Center
Facility Name SURGCENTER CAMELBACK, LLC
Street 6245 N 24TH PKWY, STE 112
City PHOENIX
State AZ
ZIP 85016
Phone 602 510-3203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Ambulatory Surgery Center
Lab Director JUSTIN FIELD

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