03D2177256 CLIA NUMBER - STAR SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 03D2177256
  • Facility Name: STAR SURGERY CENTER, LLC
  • Facility Address: 14155 N 83RD AVE STE 140
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 602 510-3203
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: M REZA KHARRAZI
  • NPI Number: 1235760406
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2177256
LAB Type Ambulatory Surgery Center
Facility Name STAR SURGERY CENTER, LLC
Street 14155 N 83RD AVE STE 140
City PEORIA
State AZ
ZIP 85381
Phone 602 510-3203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Ambulatory Surgery Center
Lab Director M REZA KHARRAZI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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