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
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Facility Phone Number:
(928) 779-1227

Facility Type:
ASSISTED LIVING FACILITY

Certificate Type:
Waiver

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 9287791227

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