03D2281612 CLIA NUMBER - BARNET DULANEY PERKINS EYE CENTER DBA AMERICAN VISION PARTNERS

Laboratory Demographics

CLIA Number: 03D2281612

Facility Name: BARNET DULANEY PERKINS EYE CENTER DBA AMERICAN VISION PARTNERS

Facility Address:
1114 S HIGLEY RD
MESA, AZ
ZIP 85206
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Facility Phone Number: 602 598-7032

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1053378638

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2281612
LAB Type	Ambulatory Surgery Center
Facility Name	BARNET DULANEY PERKINS EYE CENTER DBA AMERICAN VISION PARTNERS
Street	1114 S HIGLEY RD
City	MESA
State	AZ
ZIP	85206
Phone	602 598-7032
CertificateType	4
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	Waiver

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