03D2247240 CLIA NUMBER - ADVANCED SPINE & PAIN SURGERY CENTERS NORTH VALLEY, LLC

Laboratory Demographics

  • CLIA Code: 03D2247240
  • Facility Name: ADVANCED SPINE & PAIN SURGERY CENTERS NORTH VALLEY, LLC
  • Facility Address: 2525 W GREENWAY RD STE 100
    PHOENIX, AZ
    ZIP 85023
  • Facility Phone: 480 573-0130
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TODD W. TURLEY
  • NPI Number: 1659030005
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2247240
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SPINE & PAIN SURGERY CENTERS NORTH VALLEY, LLC
Street 2525 W GREENWAY RD STE 100
City PHOENIX
State AZ
ZIP 85023
Phone 480 573-0130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Ambulatory Surgery Center
Lab Director TODD W. TURLEY

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This page was last updated on: 3/20/2025