03D2118311 CLIA NUMBER - Gateway Recovery Institute

Laboratory Demographics

CLIA Number: 03D2118311

Facility Name: Gateway Recovery Institute

Facility Address:
4862 E Baseline Rd Ste 108
Mesa, AZ
ZIP 85206
Get Directions

Facility Phone Number: (480) 981-2405

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1699221879

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 03D2118311
LAB Type PHYSICIAN OFFICE
Facility Name Gateway Recovery Institute
Street 4862 E Baseline Rd Ste 108
City Mesa
State AZ
ZIP 85206
Phone (480) 981-2405

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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