03D2096376 CLIA NUMBER - GALLUS DETOX SCOTTSDALE

Laboratory Demographics

  • CLIA Code: 03D2096376
  • Facility Name: GALLUS DETOX SCOTTSDALE
  • Facility Address: 4326 N 75TH ST
    SCOTTSDALE, AZ
    ZIP 85251
  • Facility Phone: 480 425-5546
  • Facility Type: Other - INPATIENT MEDICAL DETOX
  • Facility Type: Waiver
  • Lab Director: TARYN OLIVERA
  • NPI Number: 1083095467
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2096376
LAB Type Other - INPATIENT MEDICAL DETOX
Facility Name GALLUS DETOX SCOTTSDALE
Street 4326 N 75TH ST
City SCOTTSDALE
State AZ
ZIP 85251
Phone 480 425-5546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Other - INPATIENT MEDICAL DETOX
Lab Director TARYN OLIVERA

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