03D2098209 CLIA NUMBER - LECHEE HEALTH FACILITY

Laboratory Demographics

  • CLIA Code: 03D2098209
  • Facility Name: LECHEE HEALTH FACILITY
  • Facility Address: 3 MILES SOUTH OF PAGE AZ ON COPPERMINE RD
    PAGE, AZ
    ZIP 86040
  • Facility Phone: 928 283-2027
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: MATTHEW DAAB
  • NPI Number: 1275954000
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 03D2098209
LAB Type Community Clinic
Facility Name LECHEE HEALTH FACILITY
Street 3 MILES SOUTH OF PAGE AZ ON COPPERMINE RD
City PAGE
State AZ
ZIP 86040
Phone 928 283-2027
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Community Clinic
Lab Director MATTHEW DAAB

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