03D2047449 CLIA NUMBER - ASSISTED LIVING CONCEPTS LLC DBA DAVIS HOUSE

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Laboratory Demographics

CLIA Number: 03D2047449

Facility Name: ASSISTED LIVING CONCEPTS LLC DBA DAVIS HOUSE

Facility Address:
2943 DESERT SKY BLVD
BULLHEAD CITY, AZ
ZIP 86442
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Facility Phone Number: 928 763-4570

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1053437525

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	03D2047449
LAB Type	Assisted Living Facility
Facility Name	ASSISTED LIVING CONCEPTS LLC DBA DAVIS HOUSE
Street	2943 DESERT SKY BLVD
City	BULLHEAD CITY
State	AZ
ZIP	86442
Phone	928 763-4570
CertificateType	4
CertificateEffectiveDate	9/24/2022
CertificateExpirationDate	9/23/2024
FacilityType	Waiver

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