03D2229404 CLIA NUMBER - BSC CHANDLER LLC

Laboratory Demographics

  • CLIA Code: 03D2229404
  • Facility Name: BSC CHANDLER LLC
  • Facility Address: 1125 S ALMA SCHOOL RD STE 100
    CHANDLER, AZ
    ZIP 85286
  • Facility Phone: 480 550-6089
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TAREK YOUSSEF
  • NPI Number: 1750970869
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2229404
LAB Type Ambulatory Surgery Center
Facility Name BSC CHANDLER LLC
Street 1125 S ALMA SCHOOL RD STE 100
City CHANDLER
State AZ
ZIP 85286
Phone 480 550-6089
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2023
Certificate Expiration Date 7/11/2025
Facility Type Ambulatory Surgery Center
Lab Director TAREK YOUSSEF

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This page was last updated on: 6/4/2025