03D2110434 CLIA NUMBER - Olivia White Hospice Home

Laboratory Demographics

CLIA Number: 03D2110434

Facility Name: Olivia White Hospice Home

Facility Address:
752 N Switzer Canyon Dr
Flagstaff, AZ
ZIP 86001
Get Directions

Facility Phone Number: (928) 779-1227

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver

NPI Number: 1366607145

Taxonomy: 177F00000X - Lodging
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

CLIA Record

Field Name Field Value
CLIA Number 03D2110434
LAB Type ASSISTED LIVING FACILITY
Facility Name Olivia White Hospice Home
Street 752 N Switzer Canyon Dr
City Flagstaff
State AZ
ZIP 86001
Phone (928) 779-1227

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