03D2110927 CLIA NUMBER - Lhcg Lxxvii, Llc Dba Northern Arizona Hospice

Laboratory Demographics

CLIA Number:
03D2110927

Facility Name:
Lhcg Lxxvii, Llc Dba Northern Arizona Hospice

Facility Address:
203 S Candy Lane, Ste 10a
Cottonwood, AZ
ZIP 86326
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Facility Phone Number:
(920) 639-6676

Facility Type:
HOSPICE

Certificate Type:
Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2110927
LAB Type	HOSPICE
Facility Name	Lhcg Lxxvii, Llc Dba Northern Arizona Hospice
Street	203 S Candy Lane, Ste 10a
City	Cottonwood
State	AZ
ZIP	86326
Phone	9206396676

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