03D2098209 CLIA NUMBER - LECHEE HEALTH FACILITY

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Laboratory Demographics

CLIA Number: 03D2098209

Facility Name: LECHEE HEALTH FACILITY

Facility Address:
3 MILES SOUTH OF PAGE AZ ON COPPERMINE RD
PAGE, AZ
ZIP 86040
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Facility Phone Number: 928 283-2027

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1275954000

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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
CertificateType	3
CertificateEffectiveDate	7/2/2023
CertificateExpirationDate	7/1/2025
FacilityType	PPMP

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