03D0881034 CLIA NUMBER - CHANGEPOINT PSYCHIATRIC HOSPITAL

Laboratory Demographics

  • CLIA Code: 03D0881034
  • Facility Name: CHANGEPOINT PSYCHIATRIC HOSPITAL
  • Facility Address: 1920 W COMMERCE DRIVE
    LAKESIDE, AZ
    ZIP 85929
  • Facility Phone: 928 368-4110
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: EHAB L. ABDALLAH
  • NPI Number: 1205877610
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0881034
LAB Type Other
Facility Name CHANGEPOINT PSYCHIATRIC HOSPITAL
Street 1920 W COMMERCE DRIVE
City LAKESIDE
State AZ
ZIP 85929
Phone 928 368-4110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Other
Lab Director EHAB L. ABDALLAH

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