03D0667776 CLIA NUMBER - GREENLEE COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 03D0667776
  • Facility Name: GREENLEE COUNTY HEALTH DEPARTMENT
  • Facility Address: PO BOX 936/FIFTH AND LEONARD
    CLIFTON, AZ
    ZIP 85533
  • Facility Phone: 928 865-2601
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: FREDERICK M. FOX
  • NPI Number: 1730310046
  • Taxonomy: 261QP0905X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0667776
LAB Type Home Health Agency
Facility Name GREENLEE COUNTY HEALTH DEPARTMENT
Street PO BOX 936/FIFTH AND LEONARD
City CLIFTON
State AZ
ZIP 85533
Phone 928 865-2601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director FREDERICK M. FOX

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This page was last updated on: 9/29/2025