03D2128461 CLIA NUMBER - Fort Mohave Walk-In Care

Laboratory Demographics

CLIA Number: 03D2128461

Facility Name: Fort Mohave Walk-In Care

Facility Address:
5263 Hwy 95
Fort Mohave, AZ
ZIP 86426
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Facility Phone Number: (928) 704-6400

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2128461
LAB Type	PHYSICIAN OFFICE
Facility Name	Fort Mohave Walk-In Care
Street	5263 Hwy 95
City	Fort Mohave
State	AZ
ZIP	86426
Phone	(928) 704-6400

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