03D2121762 CLIA NUMBER - Buena Vista Recovery, LLC

Laboratory Demographics

CLIA Number: 03D2121762

Facility Name: Buena Vista Recovery, LLC

Facility Address:
29858 N Tatum Blvd
Cave Creek, AZ
ZIP 85331
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Facility Phone Number: (623) 256-4184

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1750823498

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	03D2121762
LAB Type	OTHER
Facility Name	Buena Vista Recovery, LLC
Street	29858 N Tatum Blvd
City	Cave Creek
State	AZ
ZIP	85331
Phone	(623) 256-4184

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