03D2153009 CLIA NUMBER - BBC WHITTON

Laboratory Demographics

  • CLIA Code: 03D2153009
  • Facility Name: BBC WHITTON
  • Facility Address: 1106 E WHITTON AVE
    PHOENIX, AZ
    ZIP 85014
  • Facility Phone: 602 626-8112
  • Facility Type: Other - RESIDENTIAL TREATMENT CEN
  • Facility Type: Waiver
  • Lab Director: CHRISTI KLECKNER
  • NPI Number: 1891283149
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2153009
LAB Type Other - RESIDENTIAL TREATMENT CEN
Facility Name BBC WHITTON
Street 1106 E WHITTON AVE
City PHOENIX
State AZ
ZIP 85014
Phone 602 626-8112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Other - RESIDENTIAL TREATMENT CEN
Lab Director CHRISTI KLECKNER

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