03D2110923 CLIA NUMBER - Lhcg Lxxvii, Llc Dba Northern Arizona Home Health

Laboratory Demographics

CLIA Number:
03D2110923

Facility Name:
Lhcg Lxxvii, Llc Dba Northern Arizona Home Health

Facility Address:
203 S Candy Lane, Ste 5a
Cottonwood, AZ
ZIP 86326
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Facility Phone Number:
(928) 639-6674

Facility Type:
HOME HEALTH AGENCY

Certificate Type:
Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2110923
LAB Type	HOME HEALTH AGENCY
Facility Name	Lhcg Lxxvii, Llc Dba Northern Arizona Home Health
Street	203 S Candy Lane, Ste 5a
City	Cottonwood
State	AZ
ZIP	86326
Phone	9286396674

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