03D2168962 CLIA NUMBER - COPPER SPRINGS - EAST

Laboratory Demographics

CLIA Number: 03D2168962

Facility Name: COPPER SPRINGS - EAST

Facility Address:
3755 S ROME ST
GILBERT, AZ
ZIP 85297
Get Directions

Facility Phone Number: 480 667-5500

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1407480254

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	03D2168962
LAB Type	Hospital
Facility Name	COPPER SPRINGS - EAST
Street	3755 S ROME ST
City	GILBERT
State	AZ
ZIP	85297
Phone	480 667-5500
CertificateType	4
CertificateEffectiveDate	7/12/2023
CertificateExpirationDate	7/11/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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