03D2074169 CLIA NUMBER - LARSON FAMILY CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 03D2074169
  • Facility Name: LARSON FAMILY CHIROPRACTIC
  • Facility Address: 7749 E FLORENTINE RD STE B
    PRESCOTT VALLEY, AZ
    ZIP 86314
  • Facility Phone: 928 772-7200
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOSH LARSON
  • NPI Number: 1316236995
  • Taxonomy: 332BC3200X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 03D2074169
LAB Type Practitioner Other
Facility Name LARSON FAMILY CHIROPRACTIC
Street 7749 E FLORENTINE RD STE B
City PRESCOTT VALLEY
State AZ
ZIP 86314
Phone 928 772-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Practitioner Other
Lab Director JOSH LARSON

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