03D2263793 CLIA NUMBER - INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC - ANGEL HOUSE

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CLIA Record

Field Name Field Value
CLIA Number 03D2263793
LAB Type Other - RES TREATMENT FACILITY
Facility Name INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC - ANGEL HOUSE
Street 1310 N SPEEDWAY PL
City TUCSON
State AZ
ZIP 85715
Phone 520 721-1887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Other - RES TREATMENT FACILITY
Lab Director DR. LINDSEY RETTERATH

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