03D2103266 CLIA NUMBER - Lcs Healthcare Group, LLC

Laboratory Demographics

CLIA Number: 03D2103266

Facility Name: Lcs Healthcare Group, LLC

Facility Address:
599 E Wilcox Dr
Sierra Vista, AZ
ZIP 85635
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Facility Phone Number: (520) 459-4604

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1992174585

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 03D2103266
LAB Type OTHER PRACTITIONER
Facility Name Lcs Healthcare Group, LLC
Street 599 E Wilcox Dr
City Sierra Vista
State AZ
ZIP 85635
Phone (520) 459-4604

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This page was last updated on: 4/7/2021