03D2107267 CLIA NUMBER - Banner Page Hospital Mobile Clinic

Laboratory Demographics

CLIA Number:
03D2107267

Facility Name:
Banner Page Hospital Mobile Clinic

Facility Address:
501 N Navajo
Page, AZ
ZIP 86040

Facility Phone Number:
(928) 645-0176

Facility Type:
MOBILE LAB

Certificate Type:
Waiver

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CLIA Record

Field Name Field Value
CLIA Number 03D2107267
LAB Type MOBILE LAB
Facility Name Banner Page Hospital Mobile Clinic
Street 501 N Navajo
City Page
State AZ
ZIP 86040
Phone 9286450176

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This page was last updated on: 12/21/2017