03D2126057 CLIA NUMBER - ARCHWAYS RECOVERY CENTERS

Laboratory Demographics

  • CLIA Code: 03D2126057
  • Facility Name: ARCHWAYS RECOVERY CENTERS
  • Facility Address: 303 N CENTENNIAL WAY STE 200
    MESA, AZ
    ZIP 85201
  • Facility Phone: 480 527-0337
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: J CARVEL JACKSON
  • NPI Number: 1861853756
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2126057
LAB Type Comp. Outpatient Rehab Facility
Facility Name ARCHWAYS RECOVERY CENTERS
Street 303 N CENTENNIAL WAY STE 200
City MESA
State AZ
ZIP 85201
Phone 480 527-0337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director J CARVEL JACKSON

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