03D2258760 CLIA NUMBER - ALPINE VILLA 29

Laboratory Demographics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2258760
LAB Type Other - BEHAVIORAL HEALTH
Facility Name ALPINE VILLA 29
Street 14414 N 29TH ST
City PHOENIX
State AZ
ZIP 85032
Phone 602 292-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Other - BEHAVIORAL HEALTH
Lab Director MILISSA WINSTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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