03D2286573 CLIA NUMBER - CORNERSTONE HEALING CENTER LLC

Laboratory Demographics

CLIA Number: 03D2286573

Facility Name: CORNERSTONE HEALING CENTER LLC

Facility Address:
4344 W INDIAN SCHOOL RD STE 22/23
PHOENIX, AZ
ZIP 85031
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Facility Phone Number: 800 480-1781

Facility Type: Other - OUTPATIENT TREATMENT CENT

Certificate Type: Waiver

NPI Number: 1710556808

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	03D2286573
LAB Type	Other - OUTPATIENT TREATMENT CENT
Facility Name	CORNERSTONE HEALING CENTER LLC
Street	4344 W INDIAN SCHOOL RD STE 22/23
City	PHOENIX
State	AZ
ZIP	85031
Phone	800 480-1781
CertificateType	4
CertificateEffectiveDate	8/1/2023
CertificateExpirationDate	7/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024