03D2221881 CLIA NUMBER - ZIKA RECOVERY CENTER DBA VIRTUE RECOVERY CENTER

Laboratory Demographics

CLIA Number: 03D2221881

Facility Name: ZIKA RECOVERY CENTER DBA VIRTUE RECOVERY CENTER

Facility Address:
111 S HEARTHSTONE WAY BUILDING E
CHANDLER, AZ
ZIP 85226
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Facility Phone Number: 480 606-8602

Facility Type: Other - RESID SUBSTANCE ABUSE

Certificate Type: Waiver

NPI Number: 1326628975

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	03D2221881
LAB Type	Other - RESID SUBSTANCE ABUSE
Facility Name	ZIKA RECOVERY CENTER DBA VIRTUE RECOVERY CENTER
Street	111 S HEARTHSTONE WAY BUILDING E
City	CHANDLER
State	AZ
ZIP	85226
Phone	480 606-8602
CertificateType	4
CertificateEffectiveDate	4/26/2023
CertificateExpirationDate	4/25/2025
FacilityType	Waiver

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