03D2246079 CLIA NUMBER - AXIOS WELLNESS CENTER LLC

Laboratory Demographics

  • CLIA Code: 03D2246079
  • Facility Name: AXIOS WELLNESS CENTER LLC
  • Facility Address: 1840 E UNIVERSITY DR STE 1
    MESA, AZ
    ZIP 85203
  • Facility Phone: 480 709-4567
  • Facility Type: Other - BEHAVIORAL OPT
  • Facility Type: Waiver
  • Lab Director: ANDREA HINDS
  • NPI Number: 1225707235
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2246079
LAB Type Other - BEHAVIORAL OPT
Facility Name AXIOS WELLNESS CENTER LLC
Street 1840 E UNIVERSITY DR STE 1
City MESA
State AZ
ZIP 85203
Phone 480 709-4567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Other - BEHAVIORAL OPT
Lab Director ANDREA HINDS

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