03D2142384 CLIA NUMBER - CORNERSTONE HEALING CENTER, LLC

Laboratory Demographics

CLIA Number: 03D2142384

Facility Name: CORNERSTONE HEALING CENTER, LLC

Facility Address:
16444 N 91ST ST
SCOTTSDALE, AZ
ZIP 85260
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Facility Phone Number: 800 480-1781

Facility Type: Other - OTC

Certificate Type: Waiver

NPI Number: 1154823680

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2142384
LAB Type	Other - OTC
Facility Name	CORNERSTONE HEALING CENTER, LLC
Street	16444 N 91ST ST
City	SCOTTSDALE
State	AZ
ZIP	85260
Phone	800 480-1781
CertificateType	4
CertificateEffectiveDate	1/10/2024
CertificateExpirationDate	1/9/2026
FacilityType	Waiver

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