03D2255238 CLIA NUMBER - UROLOGIC ASC PHOENIX, LLC DBA UROLOGIC SURGERY CENTER ARIZONA

Laboratory Demographics

  • CLIA Code: 03D2255238
  • Facility Name: UROLOGIC ASC PHOENIX, LLC DBA UROLOGIC SURGERY CENTER ARIZONA
  • Facility Address: 17300 N PERIMETER DR STE 200
    SCOTTSDALE, AZ
    ZIP 85255
  • Facility Phone: 443 231-1328
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SCOTT KALINOWSKI
  • NPI Number: 1295324721
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2255238
LAB Type Ambulatory Surgery Center
Facility Name UROLOGIC ASC PHOENIX, LLC DBA UROLOGIC SURGERY CENTER ARIZONA
Street 17300 N PERIMETER DR STE 200
City SCOTTSDALE
State AZ
ZIP 85255
Phone 443 231-1328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Ambulatory Surgery Center
Lab Director SCOTT KALINOWSKI

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