03D2239007 CLIA NUMBER - AVERY'S HOUSE, LLC

Laboratory Demographics

  • CLIA Code: 03D2239007
  • Facility Name: AVERY'S HOUSE, LLC
  • Facility Address: 2416 N 113TH ST
    APACHE JUNCTION, AZ
    ZIP 85120
  • Facility Phone: 480 798-3660
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: KELSEA TEMPLE
  • NPI Number: 1437894904
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2239007
LAB Type Ancillary Testing Site in Health Care Center
Facility Name AVERY'S HOUSE, LLC
Street 2416 N 113TH ST
City APACHE JUNCTION
State AZ
ZIP 85120
Phone 480 798-3660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director KELSEA TEMPLE

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