03D2115820 CLIA NUMBER - COCONINO COUNTY JUVENILE DETENTION CENTER

Laboratory Demographics

CLIA Number: 03D2115820

Facility Name: COCONINO COUNTY JUVENILE DETENTION CENTER

Facility Address:
1001 E SAWMILL RD
FLAGSTAFF, AZ
ZIP 86001
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Facility Phone Number: (928) 226-5599

Facility Type: OTHER

Certificate Type: Microscopy

NPI Number: 1194328450

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	03D2115820
LAB Type	OTHER
Facility Name	COCONINO COUNTY JUVENILE DETENTION CENTER
Street	1001 E SAWMILL RD
City	FLAGSTAFF
State	AZ
ZIP	86001
Phone	(928) 226-5599

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This page was last updated on: 5/11/2023