03D2311986 CLIA NUMBER - SPRING VALLEY RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 03D2311986
  • Facility Name: SPRING VALLEY RECOVERY, LLC
  • Facility Address: 13690 S BURTON RD
    MAYER, AZ
    ZIP 86333
  • Facility Phone: 581 247-0248
  • Facility Type: Other - INPATIENT BEHAVIORAL HEAL
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER PAVAO
  • NPI Number: 1528436292
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2311986
LAB Type Other - INPATIENT BEHAVIORAL HEAL
Facility Name SPRING VALLEY RECOVERY, LLC
Street 13690 S BURTON RD
City MAYER
State AZ
ZIP 86333
Phone 581 247-0248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Other - INPATIENT BEHAVIORAL HEAL
Lab Director CHRISTOPHER PAVAO

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This page was last updated on: 6/4/2025