03D2115151 CLIA NUMBER - KRMC IMAGING CENTER

Laboratory Demographics

CLIA Number: 03D2115151

Facility Name: KRMC IMAGING CENTER

Facility Address:
1033 SYCAMORE AVE
KINGMAN, AZ
ZIP 86409
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Facility Phone Number: 928 263-3745

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2115151
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	KRMC IMAGING CENTER
Street	1033 SYCAMORE AVE
City	KINGMAN
State	AZ
ZIP	86409
Phone	928 263-3745
CertificateType	4
CertificateEffectiveDate	4/25/2024
CertificateExpirationDate	4/24/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024