03D2160972 CLIA NUMBER - CROSSROADS 360 COMMUNITY CARE CLINIC

Laboratory Demographics

  • CLIA Code: 03D2160972
  • Facility Name: CROSSROADS 360 COMMUNITY CARE CLINIC
  • Facility Address: 244 N EXTENSION RD
    MESA, AZ
    ZIP 85201
  • Facility Phone: 602 730-3388
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MELISSA E. MORRISON
  • NPI Number: 1962910976
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2160972
LAB Type Community Clinic
Facility Name CROSSROADS 360 COMMUNITY CARE CLINIC
Street 244 N EXTENSION RD
City MESA
State AZ
ZIP 85201
Phone 602 730-3388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Community Clinic
Lab Director MELISSA E. MORRISON

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