03D2036585 CLIA NUMBER - COMMUNITY BRIDGES, INC GLOBE OUTPATIENT SERVICE CENTER

Laboratory Demographics

  • CLIA Code: 03D2036585
  • Facility Name: COMMUNITY BRIDGES, INC GLOBE OUTPATIENT SERVICE CENTER
  • Facility Address: 5734 E HOPE LANE, SUITE 1
    GLOBE, AZ
    ZIP 85501
  • Facility Phone: 928 425-2415
  • Facility Type: Other - OUT PATIENT
  • Facility Type: Waiver
  • Lab Director: EMILY KOCH
  • NPI Number: 1093960304
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2036585
LAB Type Other - OUT PATIENT
Facility Name COMMUNITY BRIDGES, INC GLOBE OUTPATIENT SERVICE CENTER
Street 5734 E HOPE LANE, SUITE 1
City GLOBE
State AZ
ZIP 85501
Phone 928 425-2415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Other - OUT PATIENT
Lab Director EMILY KOCH

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