03D2025983 CLIA NUMBER - SUMMIT BHC MESA, LLC DBA CANYON VISTA RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 03D2025983
  • Facility Name: SUMMIT BHC MESA, LLC DBA CANYON VISTA RECOVERY CENTER
  • Facility Address: 860 N CENTER ST
    MESA, AZ
    ZIP 85201
  • Facility Phone: 480 226-1714
  • Facility Type: Other - DRUG TREATMENT FACILITY
  • Facility Type: Waiver
  • Lab Director: JON LEE
  • NPI Number: 1881120558
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2025983
LAB Type Other - DRUG TREATMENT FACILITY
Facility Name SUMMIT BHC MESA, LLC DBA CANYON VISTA RECOVERY CENTER
Street 860 N CENTER ST
City MESA
State AZ
ZIP 85201
Phone 480 226-1714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Other - DRUG TREATMENT FACILITY
Lab Director JON LEE

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