03D2126991 CLIA NUMBER - OPTIMUM SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 03D2126991
  • Facility Name: OPTIMUM SURGICAL CENTER
  • Facility Address: 20045 N 19TH AVE, BLDG 12
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 480 799-6819
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SONNY BATHEJA
  • NPI Number: 1992238661
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2126991
LAB Type Ambulatory Surgery Center
Facility Name OPTIMUM SURGICAL CENTER
Street 20045 N 19TH AVE, BLDG 12
City PHOENIX
State AZ
ZIP 85027
Phone 480 799-6819
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Ambulatory Surgery Center
Lab Director SONNY BATHEJA

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