03D2214737 CLIA NUMBER - RIVIERA SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 03D2214737
  • Facility Name: RIVIERA SURGICAL CENTER LLC
  • Facility Address: 3003 AZ-95 SUITE 63
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 909 994-5105
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANDREW W. HESSELTINE
  • NPI Number: 1073107850
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2214737
LAB Type Ambulatory Surgery Center
Facility Name RIVIERA SURGICAL CENTER LLC
Street 3003 AZ-95 SUITE 63
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 909 994-5105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Ambulatory Surgery Center
Lab Director ANDREW W. HESSELTINE

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