03D2185683 CLIA NUMBER - ADVANCED SURGICAL CARE EAST TWO LLC

Laboratory Demographics

  • CLIA Code: 03D2185683
  • Facility Name: ADVANCED SURGICAL CARE EAST TWO LLC
  • Facility Address: 5925 W CHANDLER BLVD
    CHANDLER, AZ
    ZIP 85226
  • Facility Phone: 480 219-5250
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LAURA VIDALE
  • NPI Number: 1306018957
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 03D2185683
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGICAL CARE EAST TWO LLC
Street 5925 W CHANDLER BLVD
City CHANDLER
State AZ
ZIP 85226
Phone 480 219-5250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Ambulatory Surgery Center
Lab Director LAURA VIDALE

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This page was last updated on: 6/4/2025