03D2044985 CLIA NUMBER - COCONINO COUNTY ADULT DETENTION FACILITY

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Laboratory Demographics

CLIA Number: 03D2044985

Facility Name: COCONINO COUNTY ADULT DETENTION FACILITY

Facility Address:
951 E SAWMILL RD
FLAGSTAFF, AZ
ZIP 86001
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Facility Phone Number: 928 226-5200

Facility Type: Other - COUNTY JAIL

Certificate Type: Waiver

NPI Number: 1194328450

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	03D2044985
LAB Type	Other - COUNTY JAIL
Facility Name	COCONINO COUNTY ADULT DETENTION FACILITY
Street	951 E SAWMILL RD
City	FLAGSTAFF
State	AZ
ZIP	86001
Phone	928 226-5200
CertificateType	4
CertificateEffectiveDate	8/3/2022
CertificateExpirationDate	8/2/2024
FacilityType	Waiver

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