03D2111919 CLIA NUMBER - CACTUS INTEGRATED CARE

Laboratory Demographics

  • CLIA Code: 03D2111919
  • Facility Name: CACTUS INTEGRATED CARE
  • Facility Address: 1520 E PIMA ST
    PHOENIX, AZ
    ZIP 85034
  • Facility Phone: 480 831-7566
  • Facility Type: Other - MENTAL HEALTH FACILITY
  • Facility Type: Waiver
  • Lab Director: EMILY KOCH
  • NPI Number: 1821583741
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2111919
LAB Type Other - MENTAL HEALTH FACILITY
Facility Name CACTUS INTEGRATED CARE
Street 1520 E PIMA ST
City PHOENIX
State AZ
ZIP 85034
Phone 480 831-7566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Other - MENTAL HEALTH FACILITY
Lab Director EMILY KOCH

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: 6/4/2025