03D2099817 CLIA NUMBER - RCHP - SIERRA VISTA, INC DBA CANYON VISTA MEDICAL

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Laboratory Demographics

CLIA Number: 03D2099817

Facility Name: RCHP - SIERRA VISTA, INC DBA CANYON VISTA MEDICAL

Facility Address:
5750 E HIGHWAY 90, STE 150
SIERRA VISTA, AZ
ZIP 85635
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Facility Phone Number: (520) 417-3280

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1285869883

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2099817
LAB Type	OTHER
Facility Name	RCHP - SIERRA VISTA, INC DBA CANYON VISTA MEDICAL
Street	5750 E HIGHWAY 90, STE 150
City	SIERRA VISTA
State	AZ
ZIP	85635
Phone	(520) 417-3280

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This page was last updated on: 5/11/2023