03D2107454 CLIA NUMBER - LASER SURGERY CENTER TEMPE

Laboratory Demographics

CLIA Number: 03D2107454

Facility Name: LASER SURGERY CENTER TEMPE

Facility Address:
2000 E SOUTHERN AVE, STE 106
TEMPE, AZ
ZIP 85282
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Facility Phone Number: (602) 258-7003

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1083060107

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2107454
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	LASER SURGERY CENTER TEMPE
Street	2000 E SOUTHERN AVE, STE 106
City	TEMPE
State	AZ
ZIP	85282
Phone	(602) 258-7003

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