Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
03D2267796
|
|
Clinical laboratory number
|
|
Lab Name
|
BLUE RIVER HEALTH & WELLNESS, PLLC
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
928-577-2727
|
|
Laboratory telephone number
|
|
Fax
|
888-498-4639
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
5717 HWY 95 STE 4
|
|
Primary location adress line
|
|
City
|
FORT MOHAVE
|
|
Primary location city name
|
|
State
|
AZ
|
|
Primary location state name
|
|
Zip
|
86426
|
|
Primary location postal code
|