03D2137351 CLIA NUMBER - AKDHC SURGERY CENTER, LLC (WESTGATE)

Laboratory Demographics

  • CLIA Code: 03D2137351
  • Facility Name: AKDHC SURGERY CENTER, LLC (WESTGATE)
  • Facility Address: 6622 N 91ST AVE STE 100
    GLENDALE, AZ
    ZIP 85305
  • Facility Phone: 623 552-7147
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHYAM COLATTUR
  • NPI Number: 1225500267
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2137351
LAB Type Ambulatory Surgery Center
Facility Name AKDHC SURGERY CENTER, LLC (WESTGATE)
Street 6622 N 91ST AVE STE 100
City GLENDALE
State AZ
ZIP 85305
Phone 623 552-7147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Ambulatory Surgery Center
Lab Director SHYAM COLATTUR

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