03D2308363 CLIA NUMBER - MONUMENT RECOVERY SERVICES LLC

Laboratory Demographics

  • CLIA Code: 03D2308363
  • Facility Name: MONUMENT RECOVERY SERVICES LLC
  • Facility Address: 748 W 6TH DR
    MESA, AZ
    ZIP 85210
  • Facility Phone: 480 299-5780
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM CRAIG HEISE
  • NPI Number: 1093563538
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2308363
LAB Type Comp. Outpatient Rehab Facility
Facility Name MONUMENT RECOVERY SERVICES LLC
Street 748 W 6TH DR
City MESA
State AZ
ZIP 85210
Phone 480 299-5780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director WILLIAM CRAIG HEISE

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