03D2210807 CLIA NUMBER - VERDE VALLEY ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 03D2210807
  • Facility Name: VERDE VALLEY ASSISTED LIVING
  • Facility Address: 195 WILLARD ST
    COTTONWOOD, AZ
    ZIP 86326
  • Facility Phone: 928 634-4278
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LINDA S. ROEMER
  • NPI Number: 1104976265
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2210807
LAB Type Assisted Living Facility
Facility Name VERDE VALLEY ASSISTED LIVING
Street 195 WILLARD ST
City COTTONWOOD
State AZ
ZIP 86326
Phone 928 634-4278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Assisted Living Facility
Lab Director LINDA S. ROEMER

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