03D2104195 CLIA NUMBER - VERVE SURGICAL INSTITUTE

Laboratory Demographics

CLIA Number: 03D2104195

Facility Name: VERVE SURGICAL INSTITUTE

Facility Address:
6424 E BROADWAY RD, STE 102
MESA, AZ
ZIP 85206
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Facility Phone Number: (480) 834-3084

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1275914186

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2104195
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	VERVE SURGICAL INSTITUTE
Street	6424 E BROADWAY RD, STE 102
City	MESA
State	AZ
ZIP	85206
Phone	(480) 834-3084

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This page was last updated on: 5/11/2023