03D2044986 CLIA NUMBER - SILVER CREEK INN

Laboratory Demographics

  • CLIA Code: 03D2044986
  • Facility Name: SILVER CREEK INN
  • Facility Address: 6345 E BASELINE RD
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 636-1222
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ELISABETH GEORGE
  • NPI Number: 1215273578
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2044986
LAB Type Assisted Living Facility
Facility Name SILVER CREEK INN
Street 6345 E BASELINE RD
City MESA
State AZ
ZIP 85206
Phone 480 636-1222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Assisted Living Facility
Lab Director ELISABETH GEORGE

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This page was last updated on: 3/20/2025