03D2190693 CLIA NUMBER - BCC CHANDLER LLC

Laboratory Demographics

  • CLIA Code: 03D2190693
  • Facility Name: BCC CHANDLER LLC
  • Facility Address: 1475 WEST CHANDLER BLVD STE 3
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 687-7788
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CARLOS RODRIGUEZ
  • NPI Number: 1275158495
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2190693
LAB Type Ambulatory Surgery Center
Facility Name BCC CHANDLER LLC
Street 1475 WEST CHANDLER BLVD STE 3
City CHANDLER
State AZ
ZIP 85224
Phone 480 687-7788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Ambulatory Surgery Center
Lab Director CARLOS RODRIGUEZ

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