03D2058313 CLIA NUMBER - A NEW LEAF, INC

Laboratory Demographics

  • CLIA Code: 03D2058313
  • Facility Name: A NEW LEAF, INC
  • Facility Address: 868 E UNIVERSITY DR
    MESA, AZ
    ZIP 85203
  • Facility Phone: 480 969-4024
  • Facility Type: Other - BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: WAYNE MCINTOSH
  • NPI Number: 1013349570
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2058313
LAB Type Other - BEHAVIORAL HEALTH
Facility Name A NEW LEAF, INC
Street 868 E UNIVERSITY DR
City MESA
State AZ
ZIP 85203
Phone 480 969-4024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Other - BEHAVIORAL HEALTH
Lab Director WAYNE MCINTOSH

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