03D2159225 CLIA NUMBER - SONORAN PREVENTION WORKS

Laboratory Demographics

CLIA Number: 03D2159225

Facility Name: SONORAN PREVENTION WORKS

Facility Address:
2211 S 48TH ST STE B
TEMPE, AZ
ZIP 85282
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Facility Phone Number: 480 442-7086

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1609367184

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	03D2159225
LAB Type	Mobile Laboratory
Facility Name	SONORAN PREVENTION WORKS
Street	2211 S 48TH ST STE B
City	TEMPE
State	AZ
ZIP	85282
Phone	480 442-7086
CertificateType	4
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	Waiver

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