03D2214389 CLIA NUMBER - PHOENIX SPINE AND JOINT GILBERT ASC, LLC

Laboratory Demographics

  • CLIA Code: 03D2214389
  • Facility Name: PHOENIX SPINE AND JOINT GILBERT ASC, LLC
  • Facility Address: 1760 E PECOS RD STE 128
    GILBERT, AZ
    ZIP 85295
  • Facility Phone: 602 256-2525
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NIZAMID MISSAGHI
  • NPI Number: 1871667014
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 03D2214389
LAB Type Ambulatory Surgery Center
Facility Name PHOENIX SPINE AND JOINT GILBERT ASC, LLC
Street 1760 E PECOS RD STE 128
City GILBERT
State AZ
ZIP 85295
Phone 602 256-2525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Ambulatory Surgery Center
Lab Director NIZAMID MISSAGHI

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