03D2172571 CLIA NUMBER - UROLOGY ASC - PHOENIX, LLC DBA UROLOGIC SURGERY CENTER OF ARIZONA

Laboratory Demographics

  • CLIA Code: 03D2172571
  • Facility Name: UROLOGY ASC - PHOENIX, LLC DBA UROLOGIC SURGERY CENTER OF ARIZONA
  • Facility Address: 1313 E OSBORN ROAD SUITE 170
    PHOENIX, AZ
    ZIP 85014
  • Facility Phone: 602 557-0025
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SCOTT E. KALINOWSKI
  • NPI Number: 1275198673
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2172571
LAB Type Ambulatory Surgery Center
Facility Name UROLOGY ASC - PHOENIX, LLC DBA UROLOGIC SURGERY CENTER OF ARIZONA
Street 1313 E OSBORN ROAD SUITE 170
City PHOENIX
State AZ
ZIP 85014
Phone 602 557-0025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Ambulatory Surgery Center
Lab Director SCOTT E. KALINOWSKI

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