03D0928696 CLIA NUMBER - PRESCOTT HEALTHCARE SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 03D0928696
  • Facility Name: PRESCOTT HEALTHCARE SOLUTIONS LLC
  • Facility Address: 108 S BROAD ST
    GLOBE, AZ
    ZIP 85501
  • Facility Phone: 928 425-6592
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIELLA HANCOCK
  • NPI Number: 1205962792
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0928696
LAB Type Physician Office
Facility Name PRESCOTT HEALTHCARE SOLUTIONS LLC
Street 108 S BROAD ST
City GLOBE
State AZ
ZIP 85501
Phone 928 425-6592
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director GABRIELLA HANCOCK

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