03D2168085 CLIA NUMBER - YUMA ADVANCED SURGICAL SUITES LLC

Laboratory Demographics

  • CLIA Code: 03D2168085
  • Facility Name: YUMA ADVANCED SURGICAL SUITES LLC
  • Facility Address: 1030 W 24TH STREET SUITE H
    YUMA, AZ
    ZIP 85364
  • Facility Phone: 928 210-9165
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RODNEY D. HENDERSON
  • NPI Number: 1851950281
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2168085
LAB Type Ambulatory Surgery Center
Facility Name YUMA ADVANCED SURGICAL SUITES LLC
Street 1030 W 24TH STREET SUITE H
City YUMA
State AZ
ZIP 85364
Phone 928 210-9165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Ambulatory Surgery Center
Lab Director RODNEY D. HENDERSON

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