03D1099096 CLIA NUMBER - VENTANA WINDS ASSISTED LIVING & MEMORY CARE

Laboratory Demographics

  • CLIA Code: 03D1099096
  • Facility Name: VENTANA WINDS ASSISTED LIVING & MEMORY CARE
  • Facility Address: 12322 N 113TH AVE
    YOUNGTOWN, AZ
    ZIP 85363
  • Facility Phone: 623 583-2460
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JENELLE R. JOHNSON
  • NPI Number: 1942736582
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D1099096
LAB Type Assisted Living Facility
Facility Name VENTANA WINDS ASSISTED LIVING & MEMORY CARE
Street 12322 N 113TH AVE
City YOUNGTOWN
State AZ
ZIP 85363
Phone 623 583-2460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Assisted Living Facility
Lab Director JENELLE R. JOHNSON

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