03D2123973 CLIA NUMBER - BDPEC ASC LAKE HAVASU CITY

Laboratory Demographics

CLIA Number: 03D2123973

Facility Name: BDPEC ASC LAKE HAVASU CITY

Facility Address:
40 CAPRI BLVD, STE 102
LAKE HAVASU CITY, AZ
ZIP 86403
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Facility Phone Number: (602) 508-4843

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 03D2123973
LAB Type AMBULATORY SURGERY CENTER
Facility Name BDPEC ASC LAKE HAVASU CITY
Street 40 CAPRI BLVD, STE 102
City LAKE HAVASU CITY
State AZ
ZIP 86403
Phone (602) 508-4843

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This page was last updated on: 5/11/2023