03D2289209 CLIA NUMBER - NORTHSIGHT RECOVERY

Laboratory Demographics

  • CLIA Code: 03D2289209
  • Facility Name: NORTHSIGHT RECOVERY
  • Facility Address: 605 N GILBERT RD
    MESA, AZ
    ZIP 85203
  • Facility Phone: 815 848-4312
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DANIELLE HANSEN
  • NPI Number: 1558132704
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2289209
LAB Type Community Clinic
Facility Name NORTHSIGHT RECOVERY
Street 605 N GILBERT RD
City MESA
State AZ
ZIP 85203
Phone 815 848-4312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Community Clinic
Lab Director DANIELLE HANSEN

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