03D2086473 CLIA NUMBER - INTENSIVE TREATMENT SYSTEMS

Laboratory Demographics

  • CLIA Code: 03D2086473
  • Facility Name: INTENSIVE TREATMENT SYSTEMS
  • Facility Address: 19401 N CAVE CREEK RD, #18
    PHOENIX, AZ
    ZIP 85024
  • Facility Phone: 602 996-0110
  • Facility Type: Other - MMTP-OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: JANELLE A. LEVER
  • NPI Number: 1982299699
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2086473
LAB Type Other - MMTP-OUTPATIENT
Facility Name INTENSIVE TREATMENT SYSTEMS
Street 19401 N CAVE CREEK RD, #18
City PHOENIX
State AZ
ZIP 85024
Phone 602 996-0110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Other - MMTP-OUTPATIENT
Lab Director JANELLE A. LEVER

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