03D2148389 CLIA NUMBER - VALLEY SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 03D2148389
  • Facility Name: VALLEY SURGICAL CENTER
  • Facility Address: 15601 N 28TH AVE, STE 101
    PHOENIX, AZ
    ZIP 85053
  • Facility Phone: 602 863-6363
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: THOMAS J. RICK
  • NPI Number: 1083104186
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2148389
LAB Type Ambulatory Surgery Center
Facility Name VALLEY SURGICAL CENTER
Street 15601 N 28TH AVE, STE 101
City PHOENIX
State AZ
ZIP 85053
Phone 602 863-6363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Ambulatory Surgery Center
Lab Director THOMAS J. RICK

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