03D1049429 CLIA NUMBER - PRESCOTT HEALTHCARE SOLUTIONS LLC DBA OPTIMA MEDICAL

Laboratory Demographics

  • CLIA Code: 03D1049429
  • Facility Name: PRESCOTT HEALTHCARE SOLUTIONS LLC DBA OPTIMA MEDICAL
  • Facility Address: 5902 E PIMA ST
    TUCSON, AZ
    ZIP 85712
  • Facility Phone: 520 428-6349
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIELLA HANCOCK
  • NPI Number: 1194770768
  • Taxonomy: 207L00000X - Anesthesiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D1049429
LAB Type Physician Office
Facility Name PRESCOTT HEALTHCARE SOLUTIONS LLC DBA OPTIMA MEDICAL
Street 5902 E PIMA ST
City TUCSON
State AZ
ZIP 85712
Phone 520 428-6349
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director GABRIELLA HANCOCK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025