03D2107824 CLIA NUMBER - DUAL RECOVERY SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 03D2107824
  • Facility Name: DUAL RECOVERY SOLUTIONS LLC
  • Facility Address: 702 W HILLSIDE AVE
    PRESCOTT, AZ
    ZIP 86301
  • Facility Phone: 928 778-5907
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: AMY FACKRELL
  • NPI Number: 1578826517
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2107824
LAB Type Comp. Outpatient Rehab Facility
Facility Name DUAL RECOVERY SOLUTIONS LLC
Street 702 W HILLSIDE AVE
City PRESCOTT
State AZ
ZIP 86301
Phone 928 778-5907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director AMY FACKRELL

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