03D2155702 CLIA NUMBER - BRIDGEWATER ASSISTED LIVING DEER VALLEY

Laboratory Demographics

  • CLIA Code: 03D2155702
  • Facility Name: BRIDGEWATER ASSISTED LIVING DEER VALLEY
  • Facility Address: 2641 W UNION HILLS DRIVE
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 602 603-7480
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA NEWBOURN
  • NPI Number: 1992226948
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2155702
LAB Type Assisted Living Facility
Facility Name BRIDGEWATER ASSISTED LIVING DEER VALLEY
Street 2641 W UNION HILLS DRIVE
City PHOENIX
State AZ
ZIP 85027
Phone 602 603-7480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Assisted Living Facility
Lab Director JESSICA NEWBOURN

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