03D2162214 CLIA NUMBER - SURPRISE BEHAVIORAL HOSPITAL DBA AVENIR BEHAVIORAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 03D2162214
  • Facility Name: SURPRISE BEHAVIORAL HOSPITAL DBA AVENIR BEHAVIORAL HEALTH CENTER
  • Facility Address: 16561 N PARKVIEW PL
    SURPRISE, AZ
    ZIP 85374
  • Facility Phone: 623 522-4525
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: KARY MIDDLETON
  • NPI Number: 1649755893
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 03D2162214
LAB Type Hospital
Facility Name SURPRISE BEHAVIORAL HOSPITAL DBA AVENIR BEHAVIORAL HEALTH CENTER
Street 16561 N PARKVIEW PL
City SURPRISE
State AZ
ZIP 85374
Phone 623 522-4525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Hospital
Lab Director KARY MIDDLETON

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