03D2242916 CLIA NUMBER - RECOVERY SYNDICATE, LLC

Laboratory Demographics

CLIA Number: 03D2242916

Facility Name: RECOVERY SYNDICATE, LLC

Facility Address:
3140 N ARIZONA AVE STE 101
CHANDLER, AZ
ZIP 85225
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Facility Phone Number: 833 595-2999

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407513401

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	03D2242916
LAB Type	Physician Office
Facility Name	RECOVERY SYNDICATE, LLC
Street	3140 N ARIZONA AVE STE 101
City	CHANDLER
State	AZ
ZIP	85225
Phone	833 595-2999
CertificateType	4
CertificateEffectiveDate	11/15/2023
CertificateExpirationDate	11/14/2025
FacilityType	Waiver

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