04D2178524 CLIA NUMBER - TRUE SELF RECOVERY

Laboratory Demographics

CLIA Number: 04D2178524

Facility Name: TRUE SELF RECOVERY

Facility Address:
1104 2ND STREET
ROGERS, AR
ZIP 72756
Get Directions

Facility Phone Number: 949 973-5427

Facility Type: Other - OUTPATIENT BEHAVIORAL HEA

Certificate Type: Waiver

NPI Number: 1285273219

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	04D2178524
LAB Type	Other - OUTPATIENT BEHAVIORAL HEA
Facility Name	TRUE SELF RECOVERY
Street	1104 2ND STREET
City	ROGERS
State	AR
ZIP	72756
Phone	949 973-5427
CertificateType	4
CertificateEffectiveDate	2/4/2024
CertificateExpirationDate	2/3/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024