03D2245576 CLIA NUMBER - NORTHSIGHT RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 03D2245576
  • Facility Name: NORTHSIGHT RECOVERY LLC
  • Facility Address: 1440 E SOUTHERN AVE
    TEMPE, AZ
    ZIP 85282
  • Facility Phone: 602 932-5796
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DANIELLE HANSEN
  • NPI Number: 1477212306
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2245576
LAB Type Community Clinic
Facility Name NORTHSIGHT RECOVERY LLC
Street 1440 E SOUTHERN AVE
City TEMPE
State AZ
ZIP 85282
Phone 602 932-5796
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Community Clinic
Lab Director DANIELLE HANSEN

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