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GALLUS DETOX SCOTTSDALE
NPI 1083095467
Substance Abuse Rehabilitation Facility in Scottsdale, AZ

Active since June 11, 2015CLIA 03D2096376 · Waiver
4326 N 75TH ST, SCOTTSDALE, AZ 85251(928) 227-2300(928) 771-0206 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gallus Detox Scottsdale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GALLUS DETOX SCOTTSDALE (NPI 1083095467) is a healthcare organization registered as a substance abuse rehabilitation facility in Scottsdale, Arizona and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Shannon Weir, Administrator & Director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1083095467
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGALLUS DETOX SCOTTSDALE
Location Address4326 N 75TH STScottsdale, AZ 85251-3505
Mailing Address4326 N 75th StScottsdale, AZ 85251-3505 · (928) 227-2300 · Fax (928) 771-0206
Phone(928) 227-2300
Fax(928) 771-0206
Organization SubpartNo
Authorized OfficialShannon WeirAdministrator & Director Of Nursing · (928) 227-2300
Enumeration DateJune 11, 2015
✔ NPI 1083095467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
4326 N 75TH ST, Scottsdale, AZ 85251
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2096376

Gallus Detox Scottsdale · Scottsdale, AZ
Active · expires May 21, 2027
CLIA Number03D2096376
Laboratory TypeInpatient Medical Detox
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorTaryn Olivera
Laboratory Phone(480) 425-5546
Laboratory LocationGallus Detox Scottsdale4326 N 75th St, Scottsdale, AZ 85251
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GALLUS MEDICAL SERVICES ARIZONA
Psychologist (Group Psychotherapy)
4326 N 75TH ST
SCOTTSDALE, AZ 85251
Maricopa County (480) 425-5540
MRS. KIMBERLY JEAN CROOKS MS LISAC
Counselor (Addiction (Substance Use Disorder))
4326 N 75TH ST
SCOTTSDALE, AZ 85251
Maricopa County (928) 445-3743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gallus Detox Scottsdale's NPI number?

The NPI number for Gallus Detox Scottsdale is 1083095467. It was assigned to this organization in the NPPES registry on June 11, 2015.

Where is Gallus Detox Scottsdale located?

Gallus Detox Scottsdale is located at 4326 N 75th St, Scottsdale, AZ 85251. The listed phone number is (928) 227-2300.

What is Gallus Detox Scottsdale's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Gallus Detox Scottsdale hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2096376) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gallus Detox Scottsdale was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.