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