03D2173812 CLIA NUMBER - WESTGATE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 03D2173812
  • Facility Name: WESTGATE SURGERY CENTER, LLC
  • Facility Address: 7330 N 99TH AVE STE 100
    GLENDALE, AZ
    ZIP 85307
  • Facility Phone: 623 888-5500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JON V. BARRETT
  • NPI Number: 1891257473
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2173812
LAB Type Ambulatory Surgery Center
Facility Name WESTGATE SURGERY CENTER, LLC
Street 7330 N 99TH AVE STE 100
City GLENDALE
State AZ
ZIP 85307
Phone 623 888-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Ambulatory Surgery Center
Lab Director JON V. BARRETT

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