03D1093209 CLIA NUMBER - PREVENTATIVE HEALTH ALLIANCE

Laboratory Demographics

  • CLIA Code: 03D1093209
  • Facility Name: PREVENTATIVE HEALTH ALLIANCE
  • Facility Address: 14300 W GRANITE VALLEY DR, STE B-7
    SUN CITY WEST, AZ
    ZIP 85375
  • Facility Phone: 623 776-3047
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTONIO T. UVAS
  • NPI Number: 1730109745
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1093209
LAB Type Physician Office
Facility Name PREVENTATIVE HEALTH ALLIANCE
Street 14300 W GRANITE VALLEY DR, STE B-7
City SUN CITY WEST
State AZ
ZIP 85375
Phone 623 776-3047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director ANTONIO T. UVAS

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