03D2213675 CLIA NUMBER - RESILIENT HEALTH INC

Laboratory Demographics

  • CLIA Code: 03D2213675
  • Facility Name: RESILIENT HEALTH INC
  • Facility Address: 1415 N 1ST STREET
    PHOENIX, AZ
    ZIP 85004
  • Facility Phone: 480 550-3193
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLE LYONS
  • NPI Number: 1366786006
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2213675
LAB Type Physician Office
Facility Name RESILIENT HEALTH INC
Street 1415 N 1ST STREET
City PHOENIX
State AZ
ZIP 85004
Phone 480 550-3193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Physician Office
Lab Director NICOLE LYONS

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