03D2292733 CLIA NUMBER - CORE RECOVERY, INC

Laboratory Demographics

  • CLIA Code: 03D2292733
  • Facility Name: CORE RECOVERY, INC
  • Facility Address: 16515 S 40TH STE 119B
    PHOENIX, AZ
    ZIP 85048
  • Facility Phone: 602 810-1210
  • Facility Type: Other - BEHAVIORAL HEALTH FACILIT
  • Facility Type: Waiver
  • Lab Director: NATALIE DAVIS
  • NPI Number: 1073386355
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2292733
LAB Type Other - BEHAVIORAL HEALTH FACILIT
Facility Name CORE RECOVERY, INC
Street 16515 S 40TH STE 119B
City PHOENIX
State AZ
ZIP 85048
Phone 602 810-1210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Other - BEHAVIORAL HEALTH FACILIT
Lab Director NATALIE DAVIS

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