03D2121211 CLIA NUMBER - FOUNTAIN HILLS RECOVERY

Laboratory Demographics

  • CLIA Code: 03D2121211
  • Facility Name: FOUNTAIN HILLS RECOVERY
  • Facility Address: 16872 E AVE OF THE FOUNTAINS STE 204
    FOUNTAIN HILLS, AZ
    ZIP 85268
  • Facility Phone: 480 476-8912
  • Facility Type: Other - OUTPATIENT TREATMENT CENT
  • Facility Type: Accreditation
  • Lab Director: ABRAHAM SAYEGH
  • NPI Number: 1326676800
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2121211
LAB Type Other - OUTPATIENT TREATMENT CENT
Facility Name FOUNTAIN HILLS RECOVERY
Street 16872 E AVE OF THE FOUNTAINS STE 204
City FOUNTAIN HILLS
State AZ
ZIP 85268
Phone 480 476-8912
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Other - OUTPATIENT TREATMENT CENT
Lab Director ABRAHAM SAYEGH

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This page was last updated on: 9/29/2025