03D2278805 CLIA NUMBER - APOLLO SURGERY CENTERS PLLC

Laboratory Demographics

CLIA Number: 03D2278805

Facility Name: APOLLO SURGERY CENTERS PLLC

Facility Address:
9458 E IRONWOOD SQUARE DR STE 101
SCOTTSDALE, AZ
ZIP 85258
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Facility Phone Number: 602 603-0003

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730862970

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2278805
LAB Type	Physician Office
Facility Name	APOLLO SURGERY CENTERS PLLC
Street	9458 E IRONWOOD SQUARE DR STE 101
City	SCOTTSDALE
State	AZ
ZIP	85258
Phone	602 603-0003
CertificateType	4
CertificateEffectiveDate	3/23/2023
CertificateExpirationDate	3/22/2025
FacilityType	Waiver

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