03D2126991 CLIA NUMBER - Optimum Surgical Center

Laboratory Demographics

CLIA Number: 03D2126991

Facility Name: Optimum Surgical Center

Facility Address:
20045 N 19th Ave, Bldg 12
Phoenix, AZ
ZIP 85027
Get Directions

Facility Phone Number: (480) 799-6819

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1992238661

Taxonomy: 261QA1903X - Clinic/Center

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

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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