03D2299711 CLIA NUMBER - NIRVANA RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 03D2299711
  • Facility Name: NIRVANA RECOVERY LLC
  • Facility Address: 21725 N 20TH AVE
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 480 247-6996
  • Facility Type: Other - RECOVERY
  • Facility Type: Waiver
  • Lab Director: PAUL VALBUENA
  • NPI Number: 1093439259
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2299711
LAB Type Other - RECOVERY
Facility Name NIRVANA RECOVERY LLC
Street 21725 N 20TH AVE
City PHOENIX
State AZ
ZIP 85027
Phone 480 247-6996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Other - RECOVERY
Lab Director PAUL VALBUENA

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