03D2099083 CLIA NUMBER - Heart And Vascular Surgical Center

Laboratory Demographics

CLIA Number: 03D2099083

Facility Name: Heart And Vascular Surgical Center

Facility Address:
4860 E Baseline Rd Suite 102
Mesa, AZ
ZIP 85206
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Facility Phone Number: (480) 772-0575

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1881074102

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2099083
LAB Type AMBULATORY SURGERY CENTER
Facility Name Heart And Vascular Surgical Center
Street 4860 E Baseline Rd Suite 102
City Mesa
State AZ
ZIP 85206
Phone (480) 772-0575

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This page was last updated on: 4/7/2021