03D2190473 CLIA NUMBER - AXIOM CARE

Laboratory Demographics

  • CLIA Code: 03D2190473
  • Facility Name: AXIOM CARE
  • Facility Address: 150 N OCOTILLO DR BLDG 2
    APACHE JUNCTION, AZ
    ZIP 85120
  • Facility Phone: 602 715-3865
  • Facility Type: Other - DETOX CTR
  • Facility Type: Waiver
  • Lab Director: CHRISTI KLECKNER
  • NPI Number: 1972132231
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2190473
LAB Type Other - DETOX CTR
Facility Name AXIOM CARE
Street 150 N OCOTILLO DR BLDG 2
City APACHE JUNCTION
State AZ
ZIP 85120
Phone 602 715-3865
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Other - DETOX CTR
Lab Director CHRISTI KLECKNER

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This page was last updated on: 6/4/2025