03D1094089 CLIA NUMBER - LAKE VIEW TERRACE MEMORY CARE

Laboratory Demographics

  • CLIA Code: 03D1094089
  • Facility Name: LAKE VIEW TERRACE MEMORY CARE
  • Facility Address: 320 LAKE HAVASU AVE N
    LAKE HAVASU, AZ
    ZIP 86403
  • Facility Phone: 928 855-8099
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PAMELA K. WRIGHT
  • NPI Number: 1033440458
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 03D1094089
LAB Type Assisted Living Facility
Facility Name LAKE VIEW TERRACE MEMORY CARE
Street 320 LAKE HAVASU AVE N
City LAKE HAVASU
State AZ
ZIP 86403
Phone 928 855-8099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Assisted Living Facility
Lab Director PAMELA K. WRIGHT

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