03D2274300 CLIA NUMBER - GREENWAY SURGERY CENTERS

Laboratory Demographics

CLIA Number: 03D2274300

Facility Name: GREENWAY SURGERY CENTERS

Facility Address:
2525 W GREENWAY RD STE 100
PHOENIX, AZ
ZIP 85023
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Facility Phone Number: 480 573-0130

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1053960500

Taxonomy: 126900000X - Dental Laboratory Technician
An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary.

CLIA Record

Field Name	Field Value
CLIA Number	03D2274300
LAB Type	Ambulatory Surgery Center
Facility Name	GREENWAY SURGERY CENTERS
Street	2525 W GREENWAY RD STE 100
City	PHOENIX
State	AZ
ZIP	85023
Phone	480 573-0130
CertificateType	4
CertificateEffectiveDate	12/30/2022
CertificateExpirationDate	12/29/2024
FacilityType	Waiver

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