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: 1326491283

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: 4/7/2021