03D2315057 CLIA NUMBER - ADVANCED CARDIOVASCULAR INSTITUTE LLC

Laboratory Demographics

  • CLIA Code: 03D2315057
  • Facility Name: ADVANCED CARDIOVASCULAR INSTITUTE LLC
  • Facility Address: 13128 N 94TH DR
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 623 259-5900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD NEVILLE
  • NPI Number: 1568741759
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2315057
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED CARDIOVASCULAR INSTITUTE LLC
Street 13128 N 94TH DR
City PEORIA
State AZ
ZIP 85381
Phone 623 259-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Ambulatory Surgery Center
Lab Director RICHARD NEVILLE

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