03D2121762 CLIA NUMBER - BUENA VISTA RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 03D2121762
  • Facility Name: BUENA VISTA RECOVERY, LLC
  • Facility Address: 29858 N TATUM BLVD
    CAVE CREEK, AZ
    ZIP 85331
  • Facility Phone: 623 256-4184
  • Facility Type: Other - INPATIENT TREATMENT CENTE
  • Facility Type: Waiver
  • Lab Director: PAUL R. VALBUENA
  • NPI Number: 1053979724
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2121762
LAB Type Other - INPATIENT TREATMENT CENTE
Facility Name BUENA VISTA RECOVERY, LLC
Street 29858 N TATUM BLVD
City CAVE CREEK
State AZ
ZIP 85331
Phone 623 256-4184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Other - INPATIENT TREATMENT CENTE
Lab Director PAUL R. VALBUENA

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This page was last updated on: 3/20/2025