03D2260191 CLIA NUMBER - SCOTTSDALE OUTPATIENTSURGERY GROUP

Laboratory Demographics

CLIA Number: 03D2260191

Facility Name: SCOTTSDALE OUTPATIENTSURGERY GROUP

Facility Address:
8994 E DESERT COVE AVE STE B
SCOTTSDALE, AZ
ZIP 85260
Get Directions

Facility Phone Number: 480 551-2040

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1306577457

Taxonomy: 2086S0122X - Surgery
A surgeon who specializes in plastic and reconstructive surgery.

CLIA Record

Field Name	Field Value
CLIA Number	03D2260191
LAB Type	Ambulatory Surgery Center
Facility Name	SCOTTSDALE OUTPATIENTSURGERY GROUP
Street	8994 E DESERT COVE AVE STE B
City	SCOTTSDALE
State	AZ
ZIP	85260
Phone	480 551-2040
CertificateType	4
CertificateEffectiveDate	5/16/2024
CertificateExpirationDate	5/15/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024