03D2147294 CLIA NUMBER - CENTRAL ARIZONA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 03D2147294
  • Facility Name: CENTRAL ARIZONA SURGERY CENTER
  • Facility Address: 1653 E MCMURRAY BLVD STE 141
    CASA GRANDE, AZ
    ZIP 85122
  • Facility Phone: 520 233-6502
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GEORGE R. EDELEN
  • NPI Number: 1386000495
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2147294
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL ARIZONA SURGERY CENTER
Street 1653 E MCMURRAY BLVD STE 141
City CASA GRANDE
State AZ
ZIP 85122
Phone 520 233-6502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Ambulatory Surgery Center
Lab Director GEORGE R. EDELEN

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