03D2115998 CLIA NUMBER - COMMUNITY FIRST HOME HEALTH CARE, LLC

Laboratory Demographics

CLIA Number: 03D2115998

Facility Name: COMMUNITY FIRST HOME HEALTH CARE, LLC

Facility Address:
472 E WICKENBURG WAY, STE #103
WICKENBURG, AZ
ZIP 85390
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Facility Phone Number: (928) 684-4984

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1730445347

Taxonomy: 261QR0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2115998
LAB Type	HOME HEALTH AGENCY
Facility Name	COMMUNITY FIRST HOME HEALTH CARE, LLC
Street	472 E WICKENBURG WAY, STE #103
City	WICKENBURG
State	AZ
ZIP	85390
Phone	(928) 684-4984

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