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: 4/7/2021