03D2180773 CLIA NUMBER - SCOTTSDALE SURGERY CENTER ONE, LLC

Laboratory Demographics

  • CLIA Code: 03D2180773
  • Facility Name: SCOTTSDALE SURGERY CENTER ONE, LLC
  • Facility Address: 8900 E RAINTREE DR STE 100
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 480 752-7874
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PABLO A. PRICHARD
  • NPI Number: 1821366006
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2180773
LAB Type Ambulatory Surgery Center
Facility Name SCOTTSDALE SURGERY CENTER ONE, LLC
Street 8900 E RAINTREE DR STE 100
City SCOTTSDALE
State AZ
ZIP 85260
Phone 480 752-7874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Ambulatory Surgery Center
Lab Director PABLO A. PRICHARD

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