03D2098231 CLIA NUMBER - Community Health Associates, LLC

Laboratory Demographics

CLIA Number: 03D2098231

Facility Name: Community Health Associates, LLC

Facility Address:
1701 N Douglas Ave
Douglas, AZ
ZIP 85607
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Facility Phone Number: (928) 304-7729

Facility Type: COMMUNITY CLINIC

Certificate Type: Waiver

NPI Number: 1851651079

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2098231
LAB Type COMMUNITY CLINIC
Facility Name Community Health Associates, LLC
Street 1701 N Douglas Ave
City Douglas
State AZ
ZIP 85607
Phone (928) 304-7729

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This page was last updated on: 4/7/2021