03D2147808 CLIA NUMBER - BODY SCULPTING OUTPATIENT SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 03D2147808
  • Facility Name: BODY SCULPTING OUTPATIENT SURGERY CENTER
  • Facility Address: 2255 N SCOTTSDALE RD
    SCOTTSDALE, AZ
    ZIP 85257
  • Facility Phone: 480 464-8000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ETHAN M. PHILPOTT
  • NPI Number: 1265512131
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2147808
LAB Type Ambulatory Surgery Center
Facility Name BODY SCULPTING OUTPATIENT SURGERY CENTER
Street 2255 N SCOTTSDALE RD
City SCOTTSDALE
State AZ
ZIP 85257
Phone 480 464-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Ambulatory Surgery Center
Lab Director ETHAN M. PHILPOTT

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