03D2147103 CLIA NUMBER - UNHOOKED RECOVERY POWER ROAD

Laboratory Demographics

  • CLIA Code: 03D2147103
  • Facility Name: UNHOOKED RECOVERY POWER ROAD
  • Facility Address: 215 S POWER RD STE 1251
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 629-5968
  • Facility Type: Other - RESIDENTIAL BEHAV HEALTH
  • Facility Type: Waiver
  • Lab Director: DEBI REYNOLDS
  • NPI Number: 1306243084
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2147103
LAB Type Other - RESIDENTIAL BEHAV HEALTH
Facility Name UNHOOKED RECOVERY POWER ROAD
Street 215 S POWER RD STE 1251
City MESA
State AZ
ZIP 85206
Phone 480 629-5968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Other - RESIDENTIAL BEHAV HEALTH
Lab Director DEBI REYNOLDS

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