03D1095147 CLIA NUMBER - PRESCOTT HEALTHCARE SOLUTIONS LLC DBA OPTIMA MEDICAL

Laboratory Demographics

  • CLIA Code: 03D1095147
  • Facility Name: PRESCOTT HEALTHCARE SOLUTIONS LLC DBA OPTIMA MEDICAL
  • Facility Address: 3336 E CHANDLER HEIGHTS RD #132
    GILBERT, AZ
    ZIP 85298
  • Facility Phone: 480 660-6706
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIELLA THERIOT
  • NPI Number: 1225281744
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1095147
LAB Type Physician Office
Facility Name PRESCOTT HEALTHCARE SOLUTIONS LLC DBA OPTIMA MEDICAL
Street 3336 E CHANDLER HEIGHTS RD #132
City GILBERT
State AZ
ZIP 85298
Phone 480 660-6706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Physician Office
Lab Director GABRIELLA THERIOT

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