03D2317423 CLIA NUMBER - GREATER PHOENIX SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 03D2317423
  • Facility Name: GREATER PHOENIX SURGERY CENTER
  • Facility Address: 3333 E CAMELBACK RD STE 140
    PHOENIX, AZ
    ZIP 85018
  • Facility Phone: 480 245-7600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL O. MADDEN
  • NPI Number: 1780415356
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2317423
LAB Type Ambulatory Surgery Center
Facility Name GREATER PHOENIX SURGERY CENTER
Street 3333 E CAMELBACK RD STE 140
City PHOENIX
State AZ
ZIP 85018
Phone 480 245-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL O. MADDEN

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