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

Facility Phone Number:
(928) 639-6674

Facility Type:
HOME HEALTH AGENCY

Certificate Type:
Waiver

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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