03D2113884 CLIA NUMBER - Silver Sands, LLC

Laboratory Demographics

CLIA Number: 03D2113884

Facility Name: Silver Sands, LLC

Facility Address:
3636 Crossings Dr Ste C
Prescott, AZ
ZIP 86305
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Facility Phone Number: (928) 231-2449

Facility Type: ANCILLARY TEST SITE

Certificate Type: Waiver

NPI Number: 1194278457

Taxonomy: 261QR0401X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2113884
LAB Type ANCILLARY TEST SITE
Facility Name Silver Sands, LLC
Street 3636 Crossings Dr Ste C
City Prescott
State AZ
ZIP 86305
Phone (928) 231-2449

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