03D0957402 CLIA NUMBER - ROSEWOOD RANCH LP

Laboratory Demographics

  • CLIA Code: 03D0957402
  • Facility Name: ROSEWOOD RANCH LP
  • Facility Address: 36075 S RINCON RD
    WICKENBURG, AZ
    ZIP 85390
  • Facility Phone: 928 684-9594
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MOLLY PERLMAN
  • NPI Number: 1427564335
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 03D0957402
LAB Type Other
Facility Name ROSEWOOD RANCH LP
Street 36075 S RINCON RD
City WICKENBURG
State AZ
ZIP 85390
Phone 928 684-9594
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Other
Lab Director MOLLY PERLMAN

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