03D0676309 CLIA NUMBER - HOPI HEALTH CARE CENTER KEAMS CANYON SERVICE UNIT

Laboratory Demographics

CLIA Number: 03D0676309

Facility Name: HOPI HEALTH CARE CENTER KEAMS CANYON SERVICE UNIT

Facility Address:
PO BOX 4000 HIGHWAY 264, MP 388
POLACCA, AZ
ZIP 86042
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Facility Phone Number: 928 737-6002

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1922455013

Taxonomy: 282NR1301X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	03D0676309
LAB Type	Hospital
Facility Name	HOPI HEALTH CARE CENTER KEAMS CANYON SERVICE UNIT
Street	PO BOX 4000 HIGHWAY 264, MP 388
City	POLACCA
State	AZ
ZIP	86042
Phone	928 737-6002
CertificateType	1
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Accreditation

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