03D2113737 CLIA NUMBER - Scottsdale Providence Recovery Center

Laboratory Demographics

CLIA Number: 03D2113737

Facility Name: Scottsdale Providence Recovery Center

Facility Address:
8889 E Via Linda Blvd
Scottsdale, AZ
ZIP 85258
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Facility Phone Number: (480) 284-7440

Facility Type: COMPREHENSIVE OUTPATIENT REHAB

Certificate Type: Waiver

NPI Number: 1740641612

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2113737
LAB Type COMPREHENSIVE OUTPATIENT REHAB
Facility Name Scottsdale Providence Recovery Center
Street 8889 E Via Linda Blvd
City Scottsdale
State AZ
ZIP 85258
Phone (480) 284-7440

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This page was last updated on: 4/7/2021