03D2330182 CLIA NUMBER - FOUR PILLARS RECOVERY

Laboratory Demographics

  • CLIA Code: 03D2330182
  • Facility Name: FOUR PILLARS RECOVERY
  • Facility Address: 674 E WHITE MOUNTAIN BLVD
    PINETOP, AZ
    ZIP 85935
  • Facility Phone: 928 228-1340
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: STEPHANIE BONO
  • NPI Number: 1679444269
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2330182
LAB Type Ancillary Testing Site in Health Care Center
Facility Name FOUR PILLARS RECOVERY
Street 674 E WHITE MOUNTAIN BLVD
City PINETOP
State AZ
ZIP 85935
Phone 928 228-1340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director STEPHANIE BONO

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