03D2119688 CLIA NUMBER - Mohave Healthcare, Inc

Laboratory Demographics

CLIA Number: 03D2119688

Facility Name: Mohave Healthcare, Inc

Facility Address:
1740 E Beverly Ave Suite B
Kingman, AZ
ZIP 86409
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Facility Phone Number: (623) 322-8686

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1477009371

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 03D2119688
LAB Type HOSPICE
Facility Name Mohave Healthcare, Inc
Street 1740 E Beverly Ave Suite B
City Kingman
State AZ
ZIP 86409
Phone (623) 322-8686

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This page was last updated on: 4/7/2021