03D2130100 CLIA NUMBER - MOUNTAIN VALLEY HOME FOR HEALTH

Laboratory Demographics

CLIA Number: 03D2130100

Facility Name: MOUNTAIN VALLEY HOME FOR HEALTH

Facility Address:
3700 N WINDSONG DRIVE
PRESCOTT VALLEY, AZ
ZIP 86314
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Facility Phone Number: (928) 775-7888

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1780179044

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2130100
LAB Type	HOME HEALTH AGENCY
Facility Name	MOUNTAIN VALLEY HOME FOR HEALTH
Street	3700 N WINDSONG DRIVE
City	PRESCOTT VALLEY
State	AZ
ZIP	86314
Phone	(928) 775-7888

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