03D2044985 CLIA NUMBER - COCONINO COUNTY ADULT DETENTION FACILITY

Laboratory Demographics

  • CLIA Code: 03D2044985
  • Facility Name: COCONINO COUNTY ADULT DETENTION FACILITY
  • Facility Address: 951 E SAWMILL RD
    FLAGSTAFF, AZ
    ZIP 86001
  • Facility Phone: 928 226-5200
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: RICHARD MEDRANO
  • NPI Number: 1194328450
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 03D2044985
LAB Type Prison
Facility Name COCONINO COUNTY ADULT DETENTION FACILITY
Street 951 E SAWMILL RD
City FLAGSTAFF
State AZ
ZIP 86001
Phone 928 226-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Prison
Lab Director RICHARD MEDRANO

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