03D2281664 CLIA NUMBER - PLATINUM SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 03D2281664
  • Facility Name: PLATINUM SURGERY CENTER LLC
  • Facility Address: 1981 E BONANZA CT
    GILBERT, AZ
    ZIP 85297
  • Facility Phone: 480 466-7355
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSHUA OLSON
  • NPI Number: 1689360117
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2281664
LAB Type Ambulatory Surgery Center
Facility Name PLATINUM SURGERY CENTER LLC
Street 1981 E BONANZA CT
City GILBERT
State AZ
ZIP 85297
Phone 480 466-7355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Ambulatory Surgery Center
Lab Director JOSHUA OLSON

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