03D2301021 CLIA NUMBER - LASER SURGERY HOLDING COMPANY LTD

Laboratory Demographics

  • CLIA Code: 03D2301021
  • Facility Name: LASER SURGERY HOLDING COMPANY LTD
  • Facility Address: 20199 N 67TH AVE
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 480 444-7491
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: ABDUL MEMON
  • NPI Number: 1295592731
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2301021
LAB Type Ambulatory Surgery Center
Facility Name LASER SURGERY HOLDING COMPANY LTD
Street 20199 N 67TH AVE
City GLENDALE
State AZ
ZIP 85308
Phone 480 444-7491
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Ambulatory Surgery Center
Lab Director ABDUL MEMON

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