03D1057158 CLIA NUMBER - AURORA BEHAVIORAL HEALTH SYSTEM

Laboratory Demographics

  • CLIA Code: 03D1057158
  • Facility Name: AURORA BEHAVIORAL HEALTH SYSTEM
  • Facility Address: 6015 W PEORIA AVE
    GLENDALE, AZ
    ZIP 85302
  • Facility Phone: 623 344-4400
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. FERMO
  • NPI Number: 1770506024
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 03D1057158
LAB Type Hospital
Facility Name AURORA BEHAVIORAL HEALTH SYSTEM
Street 6015 W PEORIA AVE
City GLENDALE
State AZ
ZIP 85302
Phone 623 344-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Hospital
Lab Director MICHAEL J. FERMO

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