03D2106083 CLIA NUMBER - Mt Graham Regional Medical Center - Co

Laboratory Demographics

CLIA Number: 03D2106083

Facility Name: Mt Graham Regional Medical Center - Co

Facility Address:
2250 W 16th St
Safford, AZ
ZIP 85546
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Facility Phone Number: (928) 248-4216

Facility Type: RURAL HEALTH CLINIC

Certificate Type: Waiver

NPI Number: 1346528759

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2106083
LAB Type RURAL HEALTH CLINIC
Facility Name Mt Graham Regional Medical Center - Co
Street 2250 W 16th St
City Safford
State AZ
ZIP 85546
Phone (928) 248-4216

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