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
Get Directions

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
CertificateType	4
CertificateEffectiveDate	3/10/2023
CertificateExpirationDate	3/9/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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