03D2327589 CLIA NUMBER - SPRINGBOARD RECOVERY DBA AVERY'S HOUSE

Laboratory Demographics

  • CLIA Code: 03D2327589
  • Facility Name: SPRINGBOARD RECOVERY DBA AVERY'S HOUSE
  • Facility Address: 8105 E PLYMOUTH DR
    MESA, AZ
    ZIP 85207
  • Facility Phone: 480 798-3660
  • Facility Type: Other - BEHAVIORAL HEALTH-RESIDEN
  • Facility Type: Waiver
  • Lab Director: KELSEA E. TEMPLE
  • NPI Number: 1407727035
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2327589
LAB Type Other - BEHAVIORAL HEALTH-RESIDEN
Facility Name SPRINGBOARD RECOVERY DBA AVERY'S HOUSE
Street 8105 E PLYMOUTH DR
City MESA
State AZ
ZIP 85207
Phone 480 798-3660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Other - BEHAVIORAL HEALTH-RESIDEN
Lab Director KELSEA E. TEMPLE

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