03D2075031 CLIA NUMBER - MOUNTAIN PARK SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 03D2075031
  • Facility Name: MOUNTAIN PARK SENIOR LIVING
  • Facility Address: 4475 EAST KNOX RD
    PHOENIX, AZ
    ZIP 85044
  • Facility Phone: 480 893-1200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: STEPHANIE HALEY-ANDREWS
  • NPI Number: 1457719114
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2075031
LAB Type Assisted Living Facility
Facility Name MOUNTAIN PARK SENIOR LIVING
Street 4475 EAST KNOX RD
City PHOENIX
State AZ
ZIP 85044
Phone 480 893-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Assisted Living Facility
Lab Director STEPHANIE HALEY-ANDREWS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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