03D2119860 CLIA NUMBER - Pinnacle Treatment Center Llc

Laboratory Demographics

CLIA Number: 03D2119860

Facility Name: Pinnacle Treatment Center Llc

Facility Address:
1000 Ainsworth Dr, Suite B-215,
Prescott, AZ
ZIP 86305
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Facility Phone Number: (928) 227-1742

Facility Type: COMPREHENSIVE OUTPATIENT REHAB

Certificate Type: Waiver

NPI Number: 1568919819
261QR0405X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2119860
LAB Type COMPREHENSIVE OUTPATIENT REHAB
Facility Name Pinnacle Treatment Center Llc
Street 1000 Ainsworth Dr, Suite B-215,
City Prescott
State AZ
ZIP 86305
Phone 9282271742

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This page was last updated on: 5/19/2019