03D2127272 CLIA NUMBER - SPECTRA EYE INSTITUTE PHOENIX

Laboratory Demographics

  • CLIA Code: 03D2127272
  • Facility Name: SPECTRA EYE INSTITUTE PHOENIX
  • Facility Address: 15401 N 29TH AVE STE 201
    PHOENIX, AZ
    ZIP 85053
  • Facility Phone: 623 583-2020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK RAMI BARAKAT
  • NPI Number: 1962943118
  • Taxonomy: 261QS0132X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2127272
LAB Type Ambulatory Surgery Center
Facility Name SPECTRA EYE INSTITUTE PHOENIX
Street 15401 N 29TH AVE STE 201
City PHOENIX
State AZ
ZIP 85053
Phone 623 583-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Ambulatory Surgery Center
Lab Director MARK RAMI BARAKAT

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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