03D0909547 CLIA NUMBER - RECOVERY INNOVATIONS OF ARIZONA, INC

Laboratory Demographics

CLIA Number: 03D0909547

Facility Name: RECOVERY INNOVATIONS OF ARIZONA, INC

Facility Address:
11361 N 99TH AVE STE 402
PEORIA, AZ
ZIP 85345
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Facility Phone Number: 317 902-4424

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1306971007

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	03D0909547
LAB Type	Other
Facility Name	RECOVERY INNOVATIONS OF ARIZONA, INC
Street	11361 N 99TH AVE STE 402
City	PEORIA
State	AZ
ZIP	85345
Phone	317 902-4424
CertificateType	4
CertificateEffectiveDate	12/8/2023
CertificateExpirationDate	12/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024