03D2142747 CLIA NUMBER - VOGUE RECOVERY CENTER PHOENIX

Laboratory Demographics

CLIA Number: 03D2142747

Facility Name: VOGUE RECOVERY CENTER PHOENIX

Facility Address:
4122 N 17TH ST
PHOENIX, AZ
ZIP 85016
Get Directions

Facility Phone Number: (602) 265-4663

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1497227771

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	03D2142747
LAB Type	OTHER
Facility Name	VOGUE RECOVERY CENTER PHOENIX
Street	4122 N 17TH ST
City	PHOENIX
State	AZ
ZIP	85016
Phone	(602) 265-4663

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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