03D2131600 CLIA NUMBER - STONERIDGE CENTERS FOR BRAIN & ADDICTION

Laboratory Demographics

CLIA Number: 03D2131600

Facility Name: STONERIDGE CENTERS FOR BRAIN & ADDICTION

Facility Address:
5940 E COOPER HILL DRIVE, STE E
PRESCOTT VALLEY, AZ
ZIP 86314
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Facility Phone Number: (928) 583-7799

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1700377983

Taxonomy: 261QM0850X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CLIA Record

Field Name	Field Value
CLIA Number	03D2131600
LAB Type	OTHER
Facility Name	STONERIDGE CENTERS FOR BRAIN & ADDICTION
Street	5940 E COOPER HILL DRIVE, STE E
City	PRESCOTT VALLEY
State	AZ
ZIP	86314
Phone	(928) 583-7799

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This page was last updated on: 5/11/2023