03D2271281 CLIA NUMBER - DHC ENDOSCOPY

Laboratory Demographics

CLIA Number: 03D2271281

Facility Name: DHC ENDOSCOPY

Facility Address:
10104 W COGGINS DR STE A
SUN CITY, AZ
ZIP 85351
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Facility Phone Number: 602 819-4992

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1679248587

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2271281
LAB Type	Ambulatory Surgery Center
Facility Name	DHC ENDOSCOPY
Street	10104 W COGGINS DR STE A
City	SUN CITY
State	AZ
ZIP	85351
Phone	602 819-4992
CertificateType	4
CertificateEffectiveDate	10/31/2022
CertificateExpirationDate	10/30/2024
FacilityType	Waiver

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