03D2188286 CLIA NUMBER - BUCKEYE SURGERY CENTER

Laboratory Demographics

CLIA Number: 03D2188286

Facility Name: BUCKEYE SURGERY CENTER

Facility Address:
23390 W YUMA RD
BUCKEYE, AZ
ZIP 85326
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Facility Phone Number: 602 790-6626

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1780292110

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2188286
LAB Type	Ambulatory Surgery Center
Facility Name	BUCKEYE SURGERY CENTER
Street	23390 W YUMA RD
City	BUCKEYE
State	AZ
ZIP	85326
Phone	602 790-6626
CertificateType	4
CertificateEffectiveDate	7/15/2022
CertificateExpirationDate	7/14/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024