03D1017965 CLIA NUMBER - ARCHIE HENDRICKS SR SKILLED NURSING FACILITY

Laboratory Demographics

  • CLIA Code: 03D1017965
  • Facility Name: ARCHIE HENDRICKS SR SKILLED NURSING FACILITY
  • Facility Address: BIA FEDERAL HWY 15/MILEPOST 9
    SELLS, AZ
    ZIP 85634
  • Facility Phone: 520 361-1800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THERESA RATLIFF
  • NPI Number: 1962810127
  • Taxonomy: 261QR0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D1017965
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARCHIE HENDRICKS SR SKILLED NURSING FACILITY
Street BIA FEDERAL HWY 15/MILEPOST 9
City SELLS
State AZ
ZIP 85634
Phone 520 361-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director THERESA RATLIFF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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