03D2109505 CLIA NUMBER - Prescott Healthcare Solutions

Laboratory Demographics

CLIA Number: 03D2109505

Facility Name: Prescott Healthcare Solutions

Facility Address:
425 E Gurley St
Prescott, AZ
ZIP 86301
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Facility Phone Number: (928) 458-7583

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1821454505

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2109505
LAB Type PHYSICIAN OFFICE
Facility Name Prescott Healthcare Solutions
Street 425 E Gurley St
City Prescott
State AZ
ZIP 86301
Phone (928) 458-7583

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