03D2121556 CLIA NUMBER - River Valley Hospice

Laboratory Demographics

CLIA Number: 03D2121556

Facility Name: River Valley Hospice

Facility Address:
2649 Hwy 95, Unit G,
Bullhead City, AZ
ZIP 86442
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Facility Phone Number: (928) 683-4041

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1114385325
251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 03D2121556
LAB Type HOSPICE
Facility Name River Valley Hospice
Street 2649 Hwy 95, Unit G,
City Bullhead City
State AZ
ZIP 86442
Phone 9286834041

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This page was last updated on: 5/19/2019