03D2322741 CLIA NUMBER - ANGELS CARE BEHAVIORAL CLINIC, INC

Laboratory Demographics

  • CLIA Code: 03D2322741
  • Facility Name: ANGELS CARE BEHAVIORAL CLINIC, INC
  • Facility Address: 2152 S VINEYARD ST BLDG 5B STE 113-114
    MESA, AZ
    ZIP 85210
  • Facility Phone: 480 930-8486
  • Facility Type: Other - BEHAVIORAL OTC
  • Facility Type: Waiver
  • Lab Director: LATRIECE SESSION
  • NPI Number: 1194515650
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2322741
LAB Type Other - BEHAVIORAL OTC
Facility Name ANGELS CARE BEHAVIORAL CLINIC, INC
Street 2152 S VINEYARD ST BLDG 5B STE 113-114
City MESA
State AZ
ZIP 85210
Phone 480 930-8486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Other - BEHAVIORAL OTC
Lab Director LATRIECE SESSION

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