03D2303260 CLIA NUMBER - MOJAVE COMPLETE RECOVERY

Laboratory Demographics

  • CLIA Code: 03D2303260
  • Facility Name: MOJAVE COMPLETE RECOVERY
  • Facility Address: 1010 E MCDOWELL RD STE 410
    PHOENIX, AZ
    ZIP 85006
  • Facility Phone: 480 818-9078
  • Facility Type: Other - ADDITCTION TREATMENT
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER ERICA HARGRAVE
  • NPI Number: 1336909241
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2303260
LAB Type Other - ADDITCTION TREATMENT
Facility Name MOJAVE COMPLETE RECOVERY
Street 1010 E MCDOWELL RD STE 410
City PHOENIX
State AZ
ZIP 85006
Phone 480 818-9078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Other - ADDITCTION TREATMENT
Lab Director CHRISTOPHER ERICA HARGRAVE

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