03D2138258 CLIA NUMBER - VALLEY SURGERY CENTER III LLC DBA ARIZONA SURGICAL CENTERS

Laboratory Demographics

CLIA Number: 03D2138258

Facility Name: VALLEY SURGERY CENTER III LLC DBA ARIZONA SURGICAL CENTERS

Facility Address:
9458 E IRONWOOD SQUARE DR STE 101
SCOTTSDALE, AZ
ZIP 85258
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Facility Phone Number: 602 603-0003

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1225494131

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2138258
LAB Type	Ambulatory Surgery Center
Facility Name	VALLEY SURGERY CENTER III LLC DBA ARIZONA SURGICAL CENTERS
Street	9458 E IRONWOOD SQUARE DR STE 101
City	SCOTTSDALE
State	AZ
ZIP	85258
Phone	602 603-0003
CertificateType	4
CertificateEffectiveDate	10/12/2023
CertificateExpirationDate	10/11/2025
FacilityType	Waiver

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