03D2111549 CLIA NUMBER - Integrasurgical Ambulatory Centers Of

Laboratory Demographics

CLIA Number: 03D2111549

Facility Name: Integrasurgical Ambulatory Centers Of

Facility Address:
6859 E Rembrandt Ave, #114
Mesa, AZ
ZIP 85212
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Facility Phone Number: (602) 418-2006

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1154777647

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2111549
LAB Type AMBULATORY SURGERY CENTER
Facility Name Integrasurgical Ambulatory Centers Of
Street 6859 E Rembrandt Ave, #114
City Mesa
State AZ
ZIP 85212
Phone (602) 418-2006

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