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: 5/11/2023