03D2284154 CLIA NUMBER - APOLLO SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 03D2284154
  • Facility Name: APOLLO SURGICAL CENTER LLC
  • Facility Address: 7615 E BASELINE RD STE 102
    MESA, AZ
    ZIP 85209
  • Facility Phone: 480 286-7907
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: SHANTHA KUMAR
  • NPI Number: 1225745870
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2284154
LAB Type Ambulatory Surgery Center
Facility Name APOLLO SURGICAL CENTER LLC
Street 7615 E BASELINE RD STE 102
City MESA
State AZ
ZIP 85209
Phone 480 286-7907
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Ambulatory Surgery Center
Lab Director SHANTHA KUMAR

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