03D2094616 CLIA NUMBER - DESERT VISTA EYE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 03D2094616
  • Facility Name: DESERT VISTA EYE SPECIALISTS
  • Facility Address: 2450 E GUADALUPE, STE 107
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 480 507-0600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. SCANAMEO
  • NPI Number: 1952375099
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 03D2094616
LAB Type Physician Office
Facility Name DESERT VISTA EYE SPECIALISTS
Street 2450 E GUADALUPE, STE 107
City GILBERT
State AZ
ZIP 85234
Phone 480 507-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director MICHAEL S. SCANAMEO

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