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: 4/7/2021