03D1081388 CLIA NUMBER - COMMUNITY BRIDGES EAST VALLEY ADDICTION RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 03D1081388
  • Facility Name: COMMUNITY BRIDGES EAST VALLEY ADDICTION RECOVERY CENTER
  • Facility Address: 560 S BELLVIEW
    MESA, AZ
    ZIP 85204
  • Facility Phone: 480 831-7566
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: EMILY KOCH
  • NPI Number: 1043892276
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 03D1081388
LAB Type Other
Facility Name COMMUNITY BRIDGES EAST VALLEY ADDICTION RECOVERY CENTER
Street 560 S BELLVIEW
City MESA
State AZ
ZIP 85204
Phone 480 831-7566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Other
Lab Director EMILY KOCH

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