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03D2146233 CLIA NUMBER - VALLE DEL SOL

Laboratory Demographics

CLIA Number: 03D2146233

Facility Name: VALLE DEL SOL

Facility Address:
334 W 10TH PL, STE 100
MESA, AZ
ZIP 85201
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Facility Phone Number: 602 258-6797

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver
NPI Number: 1356522684

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 03D2146233
LAB Type Federally Qualified Health Center
Facility Name VALLE DEL SOL
Street 334 W 10TH PL, STE 100
City MESA
State AZ
ZIP 85201
Phone 602 258-6797
CertificateType 4
CertificateEffectiveDate 3/26/2024
CertificateExpirationDate 3/25/2026
FacilityType Waiver

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