03D2102278 CLIA NUMBER - VALLEY VIEW WOUND & HYPERBARIC CENTER

Laboratory Demographics

  • CLIA Code: 03D2102278
  • Facility Name: VALLEY VIEW WOUND & HYPERBARIC CENTER
  • Facility Address: 1520 E HAMMER LANE, STE 105
    FORT MOHAVE, AZ
    ZIP 86426
  • Facility Phone: 928 788-7252
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: HARRISON MCDONALD
  • NPI Number: 1689918302
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 03D2102278
LAB Type Ancillary Testing Site in Health Care Center
Facility Name VALLEY VIEW WOUND & HYPERBARIC CENTER
Street 1520 E HAMMER LANE, STE 105
City FORT MOHAVE
State AZ
ZIP 86426
Phone 928 788-7252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2023
Certificate Expiration Date 8/12/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director HARRISON MCDONALD

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This page was last updated on: 6/4/2025