03D2228397 CLIA NUMBER - BSC 1 LLC

Laboratory Demographics

  • CLIA Code: 03D2228397
  • Facility Name: BSC 1 LLC
  • Facility Address: 37200 N GANTZEL RD STE 100
    QUEEN CREEK, AZ
    ZIP 85140
  • Facility Phone: 480 307-6741
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRIAN SEAVEY
  • NPI Number: 1114549805
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2228397
LAB Type Ambulatory Surgery Center
Facility Name BSC 1 LLC
Street 37200 N GANTZEL RD STE 100
City QUEEN CREEK
State AZ
ZIP 85140
Phone 480 307-6741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Ambulatory Surgery Center
Lab Director BRIAN SEAVEY

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