03D2164042 CLIA NUMBER - INTENSIVE TREATMENT SYSTEMS LLC

Laboratory Demographics

  • CLIA Code: 03D2164042
  • Facility Name: INTENSIVE TREATMENT SYSTEMS LLC
  • Facility Address: 36375 N GANTZEL RD STE 101
    SAN TAN VALLEY, AZ
    ZIP 85140
  • Facility Phone: 602 996-0110
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. LEKH SHARMA
  • NPI Number: 1508942723
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2164042
LAB Type Community Clinic
Facility Name INTENSIVE TREATMENT SYSTEMS LLC
Street 36375 N GANTZEL RD STE 101
City SAN TAN VALLEY
State AZ
ZIP 85140
Phone 602 996-0110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Community Clinic
Lab Director DR. LEKH SHARMA

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