03D2111194 CLIA NUMBER - SCOTTSDALE MCCORMICK RANCH SURGICENTER

Laboratory Demographics

  • CLIA Code: 03D2111194
  • Facility Name: SCOTTSDALE MCCORMICK RANCH SURGICENTER
  • Facility Address: 8129 N 87TH PLACE #100
    SCOTTSDALE, AZ
    ZIP 85258
  • Facility Phone: 480 410-4012
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PATTI FLINT
  • NPI Number: 1023523396
  • Taxonomy: 261QD0000X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Ambulatory Surgery Center
Lab Director PATTI FLINT

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This page was last updated on: 6/4/2025