03D2229991 CLIA NUMBER - SHEA SPECIALTY SURGERY LLC

Laboratory Demographics

  • CLIA Code: 03D2229991
  • Facility Name: SHEA SPECIALTY SURGERY LLC
  • Facility Address: 8426 E SHEA BLVD STE 100
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 480 860-4792
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHANE T. LIPSKIND
  • NPI Number: 1710611199
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2229991
LAB Type Ambulatory Surgery Center
Facility Name SHEA SPECIALTY SURGERY LLC
Street 8426 E SHEA BLVD STE 100
City SCOTTSDALE
State AZ
ZIP 85260
Phone 480 860-4792
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Ambulatory Surgery Center
Lab Director SHANE T. LIPSKIND

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