03D0531824 CLIA NUMBER - BENSON HOSPITAL

Laboratory Demographics

CLIA Number: 03D0531824

Facility Name: BENSON HOSPITAL

Facility Address:
450 S OCOTILLO
BENSON, AZ
ZIP 85602
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Facility Phone Number: 520 720-6510

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1336118322

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name Field Value
CLIA Number 03D0531824
LAB Type Hospital
Facility Name BENSON HOSPITAL
Street 450 S OCOTILLO
City BENSON
State AZ
ZIP 85602
Phone 520 720-6510
CertificateType 2
CertificateEffectiveDate 11/17/2023
CertificateExpirationDate 11/16/2025
FacilityType Compliance

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