03D2142698 CLIA NUMBER - COMMUNITY MEDICAL SERVICES - SAFFORD

Laboratory Demographics

CLIA Number: 03D2142698

Facility Name: COMMUNITY MEDICAL SERVICES - SAFFORD

Facility Address:
102 E MAIN ST
SAFFORD, AZ
ZIP 85546
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Facility Phone Number: 602 955-7997

Facility Type: Other - OTC

Certificate Type: Waiver

NPI Number: 1942704671

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	03D2142698
LAB Type	Other - OTC
Facility Name	COMMUNITY MEDICAL SERVICES - SAFFORD
Street	102 E MAIN ST
City	SAFFORD
State	AZ
ZIP	85546
Phone	602 955-7997
CertificateType	4
CertificateEffectiveDate	1/18/2024
CertificateExpirationDate	1/17/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024