03D2119860 CLIA NUMBER - Pinnacle Treatment Center LLC

Laboratory Demographics

CLIA Number: 03D2119860

Facility Name: Pinnacle Treatment Center LLC

Facility Address:
445 Miller Valley Rd
Prescott, AZ
ZIP 86301
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Facility Phone Number: (928) 227-1863

Facility Type: COMPREHENSIVE OUTPATIENT REHAB

Certificate Type: Waiver

NPI Number: 1306475751

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2119860
LAB Type COMPREHENSIVE OUTPATIENT REHAB
Facility Name Pinnacle Treatment Center LLC
Street 445 Miller Valley Rd
City Prescott
State AZ
ZIP 86301
Phone (928) 227-1863

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