03D0669190 CLIA NUMBER - RCHP-SIERRA VISTA, INC DBA CANYON VISTA MEDICAL CENTER

Laboratory Demographics

CLIA Number: 03D0669190

Facility Name: RCHP-SIERRA VISTA, INC DBA CANYON VISTA MEDICAL CENTER

Facility Address:
5700 E HWY 90
SIERRA VISTA, AZ
ZIP 85635
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Facility Phone Number: 520 417-3280

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1285869883

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D0669190
LAB Type	Hospital
Facility Name	RCHP-SIERRA VISTA, INC DBA CANYON VISTA MEDICAL CENTER
Street	5700 E HWY 90
City	SIERRA VISTA
State	AZ
ZIP	85635
Phone	520 417-3280
CertificateType	1
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Accreditation

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