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: 1629452768

Taxonomy: 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	(928) 683-4041

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