Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
03D2321692
|
|
Clinical laboratory number
|
|
Lab Name
|
NIRVANA RESIDENTIAL TREATMENT
|
|
Laboratory Name
|
|
Lab Type
|
Other - RTC
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
602-662-1236
|
|
Laboratory telephone number
|
|
Fax
|
480-247-6996
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
15852 N 17TH ST
|
|
Primary location adress line
|
|
City
|
PHOENIX
|
|
Primary location city name
|
|
State
|
AZ
|
|
Primary location state name
|
|
Zip
|
85022
|
|
Primary location postal code
|