03D2120290 CLIA NUMBER - Dreamy Draw Surgery Center

Laboratory Demographics

CLIA Number: 03D2120290

Facility Name: Dreamy Draw Surgery Center

Facility Address:
6245 N 16th St,
Phoenix, AZ
ZIP 85016
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Facility Phone Number: (602) 393-0661

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1700239456
261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2120290
LAB Type AMBULATORY SURGERY CENTER
Facility Name Dreamy Draw Surgery Center
Street 6245 N 16th St,
City Phoenix
State AZ
ZIP 85016
Phone 6023930661

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This page was last updated on: 5/19/2019