03D2174612 CLIA NUMBER - MODERN RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 03D2174612
  • Facility Name: MODERN RECOVERY LLC
  • Facility Address: 4535 S LAKESHORE DR STE 1B
    TEMPE, AZ
    ZIP 85282
  • Facility Phone: 480 251-1981
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: MICHELE MURPHY
  • NPI Number: 1477104362
  • Taxonomy: 261QM0855X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2174612
LAB Type Comp. Outpatient Rehab Facility
Facility Name MODERN RECOVERY LLC
Street 4535 S LAKESHORE DR STE 1B
City TEMPE
State AZ
ZIP 85282
Phone 480 251-1981
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Comp. Outpatient Rehab Facility
Lab Director MICHELE MURPHY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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