03D2127272 CLIA NUMBER - SPECTRA EYE INSTITUTE PHOENIX

Laboratory Demographics

  • 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
  • NPI Number: 1962943118
  • Taxonomy: 261QS0132X - Clinic/Center
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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 4
Certificate Effective Date 3/10/2023
Certificate Expiration Date 3/9/2025
Facility Type Waiver

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This page was last updated on: 4/23/2024