03D2259590 CLIA NUMBER - BSC SHEA PARK LLC

Laboratory Demographics

  • CLIA Code: 03D2259590
  • Facility Name: BSC SHEA PARK LLC
  • Facility Address: 2222 E HIGHLAND AVE STE 100
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 602 354-3242
  • Facility Type: Other - SURGERY CENTER
  • Facility Type: Waiver
  • Lab Director: MARC BRANDON
  • NPI Number: 1881339133
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2259590
LAB Type Other - SURGERY CENTER
Facility Name BSC SHEA PARK LLC
Street 2222 E HIGHLAND AVE STE 100
City PHOENIX
State AZ
ZIP 85016
Phone 602 354-3242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Other - SURGERY CENTER
Lab Director MARC BRANDON

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