03D2096476 CLIA NUMBER - PSYCHIATRIC SERVICES LLC

Laboratory Demographics

  • CLIA Code: 03D2096476
  • Facility Name: PSYCHIATRIC SERVICES LLC
  • Facility Address: 4645 N 12TH ST STE 100
    PHOENIX, AZ
    ZIP 85014
  • Facility Phone: 602 434-4541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMNON I. KAHANE
  • NPI Number: 1851611040
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 03D2096476
LAB Type Physician Office
Facility Name PSYCHIATRIC SERVICES LLC
Street 4645 N 12TH ST STE 100
City PHOENIX
State AZ
ZIP 85014
Phone 602 434-4541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Physician Office
Lab Director AMNON I. KAHANE

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