03D0721433 CLIA NUMBER - SNH AZ TENANT LLC DBA PUEBLO NORTE SENIOR LIVING COMMUNITY

Laboratory Demographics

  • CLIA Code: 03D0721433
  • Facility Name: SNH AZ TENANT LLC DBA PUEBLO NORTE SENIOR LIVING COMMUNITY
  • Facility Address: 7100 EAST MESCAL STREET
    SCOTTSDALE, AZ
    ZIP 85254
  • Facility Phone: 480 948-3990
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAWN LARRARTE
  • NPI Number: 1801442637
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D0721433
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SNH AZ TENANT LLC DBA PUEBLO NORTE SENIOR LIVING COMMUNITY
Street 7100 EAST MESCAL STREET
City SCOTTSDALE
State AZ
ZIP 85254
Phone 480 948-3990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DAWN LARRARTE

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