03D2121051 CLIA NUMBER - FOUR PEAKS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 03D2121051
  • Facility Name: FOUR PEAKS SURGERY CENTER
  • Facility Address: 9425 W BELL RD
    SUN CITY, AZ
    ZIP 85351
  • Facility Phone: 623 399-6880
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID KAPLAN
  • NPI Number: 1083169700
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2121051
LAB Type Ambulatory Surgery Center
Facility Name FOUR PEAKS SURGERY CENTER
Street 9425 W BELL RD
City SUN CITY
State AZ
ZIP 85351
Phone 623 399-6880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID KAPLAN

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This page was last updated on: 9/29/2025