03D2134184 CLIA NUMBER - INNOVATIVE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 03D2134184
  • Facility Name: INNOVATIVE SURGERY CENTER
  • Facility Address: 15547 N REEMS RD BLDG A
    SURPRISE, AZ
    ZIP 85374
  • Facility Phone: 623 535-9777
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WENDI J. LUNDQUIST
  • NPI Number: 1932644606
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2134184
LAB Type Ambulatory Surgery Center
Facility Name INNOVATIVE SURGERY CENTER
Street 15547 N REEMS RD BLDG A
City SURPRISE
State AZ
ZIP 85374
Phone 623 535-9777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Ambulatory Surgery Center
Lab Director WENDI J. LUNDQUIST

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