03D2125386 CLIA NUMBER - INBALANCE HOME HEALTH LLC

Laboratory Demographics

  • CLIA Code: 03D2125386
  • Facility Name: INBALANCE HOME HEALTH LLC
  • Facility Address: 36457 N GANTZEL ROAD
    SAN TAN VALLEY, AZ
    ZIP 85140
  • Facility Phone: 480 494-6622
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: REBECCA GLOVER
  • NPI Number: 1962955708
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2125386
LAB Type Home Health Agency
Facility Name INBALANCE HOME HEALTH LLC
Street 36457 N GANTZEL ROAD
City SAN TAN VALLEY
State AZ
ZIP 85140
Phone 480 494-6622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Home Health Agency
Lab Director REBECCA GLOVER

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This page was last updated on: 6/4/2025