03D2036385 CLIA NUMBER - COMMUNITY BRIDGES, INC ARIZONA BRIDGE TO RECOVERY

Laboratory Demographics

  • CLIA Code: 03D2036385
  • Facility Name: COMMUNITY BRIDGES, INC ARIZONA BRIDGE TO RECOVERY
  • Facility Address: 554 S BELLVIEW ROOM B
    MESA, AZ
    ZIP 85204
  • Facility Phone: 480 831-7566
  • Facility Type: Other - SUB ACUTE OUTPATIENT CLIN
  • Facility Type: Waiver
  • Lab Director: EMILY KOCH
  • NPI Number: 1508124488
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2036385
LAB Type Other - SUB ACUTE OUTPATIENT CLIN
Facility Name COMMUNITY BRIDGES, INC ARIZONA BRIDGE TO RECOVERY
Street 554 S BELLVIEW ROOM B
City MESA
State AZ
ZIP 85204
Phone 480 831-7566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Other - SUB ACUTE OUTPATIENT CLIN
Lab Director EMILY KOCH

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