03D2286304 CLIA NUMBER - NEXUS TEEN ACADEMY

Laboratory Demographics

  • CLIA Code: 03D2286304
  • Facility Name: NEXUS TEEN ACADEMY
  • Facility Address: 2695 E SADDLE MOUNTAIN RD
    CAVE CREEK, AZ
    ZIP 85331
  • Facility Phone: 813 838-3209
  • Facility Type: Other - RESIDENTIAL TREATMENT CEN
  • Facility Type: Waiver
  • Lab Director: RANDY GELOW II
  • NPI Number: 1538944871
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2286304
LAB Type Other - RESIDENTIAL TREATMENT CEN
Facility Name NEXUS TEEN ACADEMY
Street 2695 E SADDLE MOUNTAIN RD
City CAVE CREEK
State AZ
ZIP 85331
Phone 813 838-3209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Other - RESIDENTIAL TREATMENT CEN
Lab Director RANDY GELOW II

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