03D2202565 CLIA NUMBER - HUSHABYE NURSERY

Laboratory Demographics

  • CLIA Code: 03D2202565
  • Facility Name: HUSHABYE NURSERY
  • Facility Address: 3003 E MCDOWELL RD
    PHOENIX, AZ
    ZIP 85008
  • Facility Phone: 480 628-7500
  • Facility Type: Other - INPATIENT BEHAV HLTH
  • Facility Type: Waiver
  • Lab Director: TARA S. SUNDEM
  • NPI Number: 1457998759
  • Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2202565
LAB Type Other - INPATIENT BEHAV HLTH
Facility Name HUSHABYE NURSERY
Street 3003 E MCDOWELL RD
City PHOENIX
State AZ
ZIP 85008
Phone 480 628-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Other - INPATIENT BEHAV HLTH
Lab Director TARA S. SUNDEM

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