03D2203321 CLIA NUMBER - SNOWFLAKE IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 03D2203321
  • Facility Name: SNOWFLAKE IMAGING CENTER
  • Facility Address: 1121 S MAIN ST
    SNOWFLAKE, AZ
    ZIP 85937
  • Facility Phone: 928 537-6702
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: SHERRI COPLAN
  • NPI Number: 1326123720
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 03D2203321
LAB Type Rural Health Clinic
Facility Name SNOWFLAKE IMAGING CENTER
Street 1121 S MAIN ST
City SNOWFLAKE
State AZ
ZIP 85937
Phone 928 537-6702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Rural Health Clinic
Lab Director SHERRI COPLAN

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This page was last updated on: 9/29/2025