03D2110429 CLIA NUMBER - SOBA MESA LLC DBA SOBA RECOVERY CENTER

Laboratory Demographics

CLIA Number: 03D2110429

Facility Name: SOBA MESA LLC DBA SOBA RECOVERY CENTER

Facility Address:
6215 E ARBOR AVE
MESA, AZ
ZIP 85206
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Facility Phone Number: (480) 664-4053

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1144670951

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	03D2110429
LAB Type	OTHER
Facility Name	SOBA MESA LLC DBA SOBA RECOVERY CENTER
Street	6215 E ARBOR AVE
City	MESA
State	AZ
ZIP	85206
Phone	(480) 664-4053

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This page was last updated on: 5/11/2023