03D2106083 CLIA NUMBER - MT GRAHAM REGIONAL MEDICAL CENTER - COPPER

Laboratory Demographics

CLIA Number: 03D2106083

Facility Name: MT GRAHAM REGIONAL MEDICAL CENTER - COPPER

Facility Address:
2175 W 16TH ST STE D
SAFFORD, AZ
ZIP 85546
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Facility Phone Number: (928) 248-4216

Facility Type: RURAL HEALTH CLINIC

Certificate Type: Waiver

NPI Number: 1275588345

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	03D2106083
LAB Type	RURAL HEALTH CLINIC
Facility Name	MT GRAHAM REGIONAL MEDICAL CENTER - COPPER
Street	2175 W 16TH ST STE D
City	SAFFORD
State	AZ
ZIP	85546
Phone	(928) 248-4216

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