03D2127272 CLIA NUMBER - SPECTRA EYE INSTITUTE PHOENIX

Laboratory Demographics

CLIA Number: 03D2127272

Facility Name: SPECTRA EYE INSTITUTE PHOENIX

Facility Address:
15401 N 29TH AVE STE 201
PHOENIX, AZ
ZIP 85053
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Facility Phone Number: (623) 583-2020

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1962943118

Taxonomy: 261QS0132X - Clinic/Center

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

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