03D2017953 CLIA NUMBER - ALLIANCE URGENT CARE

Home > CLIA Lookup > 03D2017953

Laboratory Demographics

CLIA Number: 03D2017953

Facility Name: ALLIANCE URGENT CARE

Facility Address:
15530 W ROOSEVELT ST, STE D101
GOODYEAR, AZ
ZIP 85338
Get Directions

Facility Phone Number: 855 887-4368

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1144786799

Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CLIA Record

Field Name	Field Value
CLIA Number	03D2017953
LAB Type	Other - URGENT CARE
Facility Name	ALLIANCE URGENT CARE
Street	15530 W ROOSEVELT ST, STE D101
City	GOODYEAR
State	AZ
ZIP	85338
Phone	855 887-4368
CertificateType	4
CertificateEffectiveDate	12/21/2022
CertificateExpirationDate	12/20/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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