03D2131600 CLIA NUMBER - STONERIDGE CENTERS FOR BRAIN & ADDICTION TREATMENT

Laboratory Demographics

  • CLIA Code: 03D2131600
  • Facility Name: STONERIDGE CENTERS FOR BRAIN & ADDICTION TREATMENT
  • Facility Address: 5940 E COOPER HILL DRIVE, STE E
    PRESCOTT VALLEY, AZ
    ZIP 86314
  • Facility Phone: 928 583-7799
  • Facility Type: Other - OUTPATIENT MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: MARK COLLINS
  • NPI Number: 1700377983
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2131600
LAB Type Other - OUTPATIENT MENTAL HEALTH
Facility Name STONERIDGE CENTERS FOR BRAIN & ADDICTION TREATMENT
Street 5940 E COOPER HILL DRIVE, STE E
City PRESCOTT VALLEY
State AZ
ZIP 86314
Phone 928 583-7799
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Other - OUTPATIENT MENTAL HEALTH
Lab Director MARK COLLINS

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This page was last updated on: 9/29/2025