45D2211344 CLIA NUMBER - AXIS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 45D2211344
  • Facility Name: AXIS SURGERY CENTER, LLC
  • Facility Address: 1110 E STATE HWY 114 SUITE 150
    SOUTHLAKE, TX
    ZIP 76092
  • Facility Phone: 817 912-2137
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SAEID ARYAN
  • NPI Number: 1912503665
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2211344
LAB Type Ambulatory Surgery Center
Facility Name AXIS SURGERY CENTER, LLC
Street 1110 E STATE HWY 114 SUITE 150
City SOUTHLAKE
State TX
ZIP 76092
Phone 817 912-2137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Ambulatory Surgery Center
Lab Director SAEID ARYAN

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