03D2280606 CLIA NUMBER - ADVANCED SURGICAL WEIGHT LOSS LLC

Laboratory Demographics

  • CLIA Code: 03D2280606
  • Facility Name: ADVANCED SURGICAL WEIGHT LOSS LLC
  • Facility Address: 1855 E SOUTHERN AVE STE 2
    TEMPE, AZ
    ZIP 85282
  • Facility Phone: 480 712-6000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. ORRIS
  • NPI Number: 1144980947
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2280606
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED SURGICAL WEIGHT LOSS LLC
Street 1855 E SOUTHERN AVE STE 2
City TEMPE
State AZ
ZIP 85282
Phone 480 712-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL J. ORRIS

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This page was last updated on: 9/29/2025