03D2119988 CLIA NUMBER - WHITE CLIFFS SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 03D2119988
  • Facility Name: WHITE CLIFFS SENIOR LIVING
  • Facility Address: 3600 PETERSON RD
    KINGMAN, AZ
    ZIP 86409
  • Facility Phone: 928 681-1050
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LETHA GARCIA
  • NPI Number: 1730653361
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2119988
LAB Type Assisted Living Facility
Facility Name WHITE CLIFFS SENIOR LIVING
Street 3600 PETERSON RD
City KINGMAN
State AZ
ZIP 86409
Phone 928 681-1050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Assisted Living Facility
Lab Director LETHA GARCIA

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This page was last updated on: 3/20/2025