03D1060410 CLIA NUMBER - CHAPARRAL WINDS ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 03D1060410
  • Facility Name: CHAPARRAL WINDS ASSISTED LIVING
  • Facility Address: 16623 N WEST POINT PKWY
    SURPRISE, AZ
    ZIP 85374
  • Facility Phone: 623 975-0880
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JENELLE R. JOHNSON
  • NPI Number: 1336621259
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D1060410
LAB Type Other
Facility Name CHAPARRAL WINDS ASSISTED LIVING
Street 16623 N WEST POINT PKWY
City SURPRISE
State AZ
ZIP 85374
Phone 623 975-0880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Other
Lab Director JENELLE R. JOHNSON

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