03D2110923 CLIA NUMBER - Lhcg Lxxvii, LLC Dba Northern Arizona

Laboratory Demographics

CLIA Number: 03D2110923

Facility Name: Lhcg Lxxvii, LLC Dba Northern Arizona

Facility Address:
203 S Candy Lane, Ste 5a
Cottonwood, AZ
ZIP 86326
Get Directions

Facility Phone Number: (928) 639-6674

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1356702104

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 03D2110923
LAB Type HOME HEALTH AGENCY
Facility Name Lhcg Lxxvii, LLC Dba Northern Arizona
Street 203 S Candy Lane, Ste 5a
City Cottonwood
State AZ
ZIP 86326
Phone (928) 639-6674

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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