03D1105785 CLIA NUMBER - SACRED PEAKS HEALTH CENTER

Laboratory Demographics

CLIA Number: 03D1105785

Facility Name: SACRED PEAKS HEALTH CENTER

Facility Address:
6300 N HIGHWAY 89
FLAGSTAFF, AZ
ZIP 86004
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Facility Phone Number: 928 283-2027

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1376773341

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	03D1105785
LAB Type	Physician Office
Facility Name	SACRED PEAKS HEALTH CENTER
Street	6300 N HIGHWAY 89
City	FLAGSTAFF
State	AZ
ZIP	86004
Phone	928 283-2027
CertificateType	3
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	PPMP

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