03D1098230 CLIA NUMBER - BELLEZZA SENSA, LLC

Laboratory Demographics

  • CLIA Code: 03D1098230
  • Facility Name: BELLEZZA SENSA, LLC
  • Facility Address: 3105 CLEARWATER DR STE A
    PRESCOTT, AZ
    ZIP 86305
  • Facility Phone: 928 237-4422
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: EDIE J. MORGAN, ANP
  • NPI Number: 1215170485
  • Taxonomy: 363LW0102X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D1098230
LAB Type Practitioner Other
Facility Name BELLEZZA SENSA, LLC
Street 3105 CLEARWATER DR STE A
City PRESCOTT
State AZ
ZIP 86305
Phone 928 237-4422
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Practitioner Other
Lab Director EDIE J. MORGAN, ANP

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