03D2058341 CLIA NUMBER - PRESCOTT HEALTHCARE SOLUTIONS, LLC DBA OPTIMA MEDICAL

Laboratory Demographics

  • CLIA Code: 03D2058341
  • Facility Name: PRESCOTT HEALTHCARE SOLUTIONS, LLC DBA OPTIMA MEDICAL
  • Facility Address: 3151 N WINDSONG DR
    PRESCOTT VALLEY, AZ
    ZIP 86314
  • Facility Phone: 928 350-8603
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KENNETH G. FLANAGAN
  • NPI Number: 1447815493
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 03D2058341
LAB Type Physician Office
Facility Name PRESCOTT HEALTHCARE SOLUTIONS, LLC DBA OPTIMA MEDICAL
Street 3151 N WINDSONG DR
City PRESCOTT VALLEY
State AZ
ZIP 86314
Phone 928 350-8603
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director KENNETH G. FLANAGAN

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