03D2167744 CLIA NUMBER - RECOVIA, LLC - DEER VALLEY

Laboratory Demographics

  • CLIA Code: 03D2167744
  • Facility Name: RECOVIA, LLC - DEER VALLEY
  • Facility Address: 19636 N 27TH AVE SUITE 106
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 480 712-4600
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: SCOTT A. HAVENS
  • NPI Number: 1376072884
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2167744
LAB Type Comp. Outpatient Rehab Facility
Facility Name RECOVIA, LLC - DEER VALLEY
Street 19636 N 27TH AVE SUITE 106
City PHOENIX
State AZ
ZIP 85027
Phone 480 712-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director SCOTT A. HAVENS

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