03D2209736 CLIA NUMBER - CHRISTIAN CARE COTTONWOOD

Laboratory Demographics

  • CLIA Code: 03D2209736
  • Facility Name: CHRISTIAN CARE COTTONWOOD
  • Facility Address: 859 S 12TH ST
    COTTONWOOD, AZ
    ZIP 86326
  • Facility Phone: 928 641-5104
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY SANDERS
  • NPI Number: 1083448005
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 03D2209736
LAB Type Assisted Living Facility
Facility Name CHRISTIAN CARE COTTONWOOD
Street 859 S 12TH ST
City COTTONWOOD
State AZ
ZIP 86326
Phone 928 641-5104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Assisted Living Facility
Lab Director KIMBERLY SANDERS

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