03D2015297 CLIA NUMBER - MISSION TREATMENT CENTERS, INC

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Laboratory Demographics

CLIA Number: 03D2015297

Facility Name: MISSION TREATMENT CENTERS, INC

Facility Address:
617 N SCOTTSDALE ROAD STE D
SCOTTSDALE, AZ
ZIP 85257
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Facility Phone Number: 480 990-3720

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1700192077

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	03D2015297
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	MISSION TREATMENT CENTERS, INC
Street	617 N SCOTTSDALE ROAD STE D
City	SCOTTSDALE
State	AZ
ZIP	85257
Phone	480 990-3720
CertificateType	4
CertificateEffectiveDate	10/25/2022
CertificateExpirationDate	10/24/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024