03D2278345 CLIA NUMBER - PRECISION SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 03D2278345

Facility Name: PRECISION SURGERY CENTER, LLC

Facility Address:
2121 N CRAYCROFT RD BLDG 6
TUCSON, AZ
ZIP 85712
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Facility Phone Number: 866 990-0036

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1396471876

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2278345
LAB Type	Ambulatory Surgery Center
Facility Name	PRECISION SURGERY CENTER, LLC
Street	2121 N CRAYCROFT RD BLDG 6
City	TUCSON
State	AZ
ZIP	85712
Phone	866 990-0036
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

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