03D2219121 CLIA NUMBER - PAGE UNIFIED SCHOOL DISTRICT

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Laboratory Demographics

CLIA Number: 03D2219121

Facility Name: PAGE UNIFIED SCHOOL DISTRICT

Facility Address:
434 S LAKE POWELL BLVD
PAGE, AZ
ZIP 86040
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Facility Phone Number: 928 608-4183

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1336525948

Taxonomy: 2355S0801X - Specialist/Technologist

CLIA Record

Field Name	Field Value
CLIA Number	03D2219121
LAB Type	School/Student Health Service
Facility Name	PAGE UNIFIED SCHOOL DISTRICT
Street	434 S LAKE POWELL BLVD
City	PAGE
State	AZ
ZIP	86040
Phone	928 608-4183
CertificateType	4
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	Waiver

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