03D2187392 CLIA NUMBER - DEER VALLEY SURGICAL AND ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 03D2187392
  • Facility Name: DEER VALLEY SURGICAL AND ENDOSCOPY CENTER
  • Facility Address: 19646 N 27TH AVE, SUITE 204
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 602 633-3097
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER JOHNSTAD
  • NPI Number: 1811940554
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2187392
LAB Type Ambulatory Surgery Center
Facility Name DEER VALLEY SURGICAL AND ENDOSCOPY CENTER
Street 19646 N 27TH AVE, SUITE 204
City PHOENIX
State AZ
ZIP 85027
Phone 602 633-3097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER JOHNSTAD

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