03D2317369 CLIA NUMBER - BLUE BELL BEHAVIORAL HEALTH CASA GRANDE

Laboratory Demographics

  • CLIA Code: 03D2317369
  • Facility Name: BLUE BELL BEHAVIORAL HEALTH CASA GRANDE
  • Facility Address: 107 E 1ST ST
    CASA GRANDE, AZ
    ZIP 85122
  • Facility Phone: 520 375-2682
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: YOLANDA T. RODEIGUEZ
  • NPI Number: 1023704954
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 03D2317369
LAB Type Community Clinic
Facility Name BLUE BELL BEHAVIORAL HEALTH CASA GRANDE
Street 107 E 1ST ST
City CASA GRANDE
State AZ
ZIP 85122
Phone 520 375-2682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Community Clinic
Lab Director YOLANDA T. RODEIGUEZ

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