03D2107583 CLIA NUMBER - Arizona State Urological Institute

Laboratory Demographics

CLIA Number: 03D2107583

Facility Name: Arizona State Urological Institute

Facility Address:
36493 N Gantzel Rd
San Tan Valley, AZ
ZIP 85140
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Facility Phone Number: (480) 394-0200

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1144231895

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	03D2107583
LAB Type	PHYSICIAN OFFICE
Facility Name	Arizona State Urological Institute
Street	36493 N Gantzel Rd
City	San Tan Valley
State	AZ
ZIP	85140
Phone	(480) 394-0200

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