03D0642043 CLIA NUMBER - CHINLE COMPREHENSIVE CARE FACILITY

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Laboratory Demographics

CLIA Number: 03D0642043

Facility Name: CHINLE COMPREHENSIVE CARE FACILITY

Facility Address:
PO BOX PH US HIGHWAY 191 HOSPITAL TURN OFF
CHINLE, AZ
ZIP 86503
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Facility Phone Number: 928 674-7001

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1184171894

Taxonomy: 282NR1301X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	03D0642043
LAB Type	Hospital
Facility Name	CHINLE COMPREHENSIVE CARE FACILITY
Street	PO BOX PH US HIGHWAY 191 HOSPITAL TURN OFF
City	CHINLE
State	AZ
ZIP	86503
Phone	928 674-7001
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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