03D2278799 CLIA NUMBER - ST JOSEPH'S RECOVERY CARE CENTER

Laboratory Demographics

  • CLIA Code: 03D2278799
  • Facility Name: ST JOSEPH'S RECOVERY CARE CENTER
  • Facility Address: 240 W THOMAS RD STE B
    PHOENIX, AZ
    ZIP 85013
  • Facility Phone: 602 406-3552
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: WAI TAK LOH
  • NPI Number: 1306843222
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2278799
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ST JOSEPH'S RECOVERY CARE CENTER
Street 240 W THOMAS RD STE B
City PHOENIX
State AZ
ZIP 85013
Phone 602 406-3552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director WAI TAK LOH

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