03D2028539 CLIA NUMBER - APURVA ADVANCED MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 03D2028539
  • Facility Name: APURVA ADVANCED MEDICAL CARE
  • Facility Address: 722 N MONTEZUMA STREET
    PRESCOTT, AZ
    ZIP 86301
  • Facility Phone: 928 237-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN L. SMITH
  • NPI Number: 1487967519
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2028539
LAB Type Physician Office
Facility Name APURVA ADVANCED MEDICAL CARE
Street 722 N MONTEZUMA STREET
City PRESCOTT
State AZ
ZIP 86301
Phone 928 237-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director STEVEN L. SMITH

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