03D2178842 CLIA NUMBER - COMMUNITY HEALTH ASSOCIATES, LLC

Laboratory Demographics

CLIA Number: 03D2178842

Facility Name: COMMUNITY HEALTH ASSOCIATES, LLC

Facility Address:
1021 S KOFA AVE
PARKER, AZ
ZIP 85344
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Facility Phone Number: 928 304-7729

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1255663423

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	03D2178842
LAB Type	Community Clinic
Facility Name	COMMUNITY HEALTH ASSOCIATES, LLC
Street	1021 S KOFA AVE
City	PARKER
State	AZ
ZIP	85344
Phone	928 304-7729
CertificateType	4
CertificateEffectiveDate	2/10/2024
CertificateExpirationDate	2/9/2026
FacilityType	Waiver

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