03D2319827 CLIA NUMBER - ATLAS OUTPATIENT, LLC

Laboratory Demographics

  • CLIA Code: 03D2319827
  • Facility Name: ATLAS OUTPATIENT, LLC
  • Facility Address: 16390 N 59TH AVE STE 100
    GLENDALE, AZ
    ZIP 85306
  • Facility Phone: 602 903-0360
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SEAN ORMOND
  • NPI Number: 1639982960
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2319827
LAB Type Ambulatory Surgery Center
Facility Name ATLAS OUTPATIENT, LLC
Street 16390 N 59TH AVE STE 100
City GLENDALE
State AZ
ZIP 85306
Phone 602 903-0360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Ambulatory Surgery Center
Lab Director SEAN ORMOND

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