03D2288019 CLIA NUMBER - SANCTUARY SOBER LIVING, LLC

Laboratory Demographics

  • CLIA Code: 03D2288019
  • Facility Name: SANCTUARY SOBER LIVING, LLC
  • Facility Address: 1340 E DESERT COVE AVE
    PHOENIX, AZ
    ZIP 85020
  • Facility Phone: 480 408-2694
  • Facility Type: Other - BEHAVIOR HEALTH FACILITY
  • Facility Type: Waiver
  • Lab Director: CRAIG HEISE
  • NPI Number: 1023139656
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2288019
LAB Type Other - BEHAVIOR HEALTH FACILITY
Facility Name SANCTUARY SOBER LIVING, LLC
Street 1340 E DESERT COVE AVE
City PHOENIX
State AZ
ZIP 85020
Phone 480 408-2694
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Other - BEHAVIOR HEALTH FACILITY
Lab Director CRAIG HEISE

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