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03D2162150 CLIA NUMBER - COMMUNITY MEDICAL SERVICES - NOGALES

Laboratory Demographics

CLIA Number: 03D2162150

Facility Name: COMMUNITY MEDICAL SERVICES - NOGALES

Facility Address:
274 W VIEWPOINT DR
NOGALES, AZ
ZIP 85621
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Facility Phone Number: 602 796-8973

Facility Type: Other - OTC

Certificate Type: Waiver
NPI Number: 1043504376

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 03D2162150
LAB Type Other - OTC
Facility Name COMMUNITY MEDICAL SERVICES - NOGALES
Street 274 W VIEWPOINT DR
City NOGALES
State AZ
ZIP 85621
Phone 602 796-8973
CertificateType 4
CertificateEffectiveDate 2/19/2023
CertificateExpirationDate 2/18/2025
FacilityType Waiver

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