03D2094544 CLIA NUMBER - EMBARK RECOVERY, LLC

Home > CLIA Lookup > 03D2094544

Laboratory Demographics

CLIA Number: 03D2094544

Facility Name: EMBARK RECOVERY, LLC

Facility Address:
3727 W KARICIO LANE
PRESCOTT, AZ
ZIP 86303
Get Directions

Facility Phone Number: 623 256-4184

Facility Type: Other - RECOVERY CENTER

Certificate Type: Waiver

NPI Number: 1871987495

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2094544
LAB Type	Other - RECOVERY CENTER
Facility Name	EMBARK RECOVERY, LLC
Street	3727 W KARICIO LANE
City	PRESCOTT
State	AZ
ZIP	86303
Phone	623 256-4184
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024