03D2183009 CLIA NUMBER - SCOTTSDALE PLASTIC SURGEONS, PLC

Laboratory Demographics

  • CLIA Code: 03D2183009
  • Facility Name: SCOTTSDALE PLASTIC SURGEONS, PLC
  • Facility Address: 15757 N 78TH ST, STE A
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 480 787-5815
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN B. TSUJIMURA
  • NPI Number: 1295190338
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 03D2183009
LAB Type Physician Office
Facility Name SCOTTSDALE PLASTIC SURGEONS, PLC
Street 15757 N 78TH ST, STE A
City SCOTTSDALE
State AZ
ZIP 85260
Phone 480 787-5815
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director RYAN B. TSUJIMURA

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