03D2111194 CLIA NUMBER - Scottsdale Mccormick Ranch Surgicenter

Laboratory Demographics

CLIA Number: 03D2111194

Facility Name: Scottsdale Mccormick Ranch Surgicenter

Facility Address:
8129 N 87th Place #100
Scottsdale, AZ
ZIP 85258
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Facility Phone Number: (480) 410-4012

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1629443478

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2111194
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	Scottsdale Mccormick Ranch Surgicenter
Street	8129 N 87th Place #100
City	Scottsdale
State	AZ
ZIP	85258
Phone	(480) 410-4012

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