03D0675832 CLIA NUMBER - CIBECUE HEALTH CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 03D0675832
  • Facility Name: CIBECUE HEALTH CENTER LABORATORY
  • Facility Address: PO BOX 80037 HIGHWAY 73
    CIBECUE, AZ
    ZIP 85911
  • Facility Phone: 928 338-3761
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: EDDIE GLOSHAY
  • NPI Number: 1598897290
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 03D0675832
LAB Type Community Clinic
Facility Name CIBECUE HEALTH CENTER LABORATORY
Street PO BOX 80037 HIGHWAY 73
City CIBECUE
State AZ
ZIP 85911
Phone 928 338-3761
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Community Clinic
Lab Director EDDIE GLOSHAY

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