03D2138688 CLIA NUMBER - REDEMPTION WELLNESS, LLC

Laboratory Demographics

CLIA Number: 03D2138688

Facility Name: REDEMPTION WELLNESS, LLC

Facility Address:
9402 S 156TH PL
GILBERT, AZ
ZIP 85234
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Facility Phone Number: 602 432-0531

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1053757278

Taxonomy: 2084P0804X - Psychiatry & Neurology
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

CLIA Record

Field Name	Field Value
CLIA Number	03D2138688
LAB Type	Practitioner Other
Facility Name	REDEMPTION WELLNESS, LLC
Street	9402 S 156TH PL
City	GILBERT
State	AZ
ZIP	85234
Phone	602 432-0531
CertificateType	4
CertificateEffectiveDate	10/23/2023
CertificateExpirationDate	10/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024