03D2114996 CLIA NUMBER - WEST SEDONA FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 03D2114996

Facility Name: WEST SEDONA FAMILY PRACTICE

Facility Address:
2155 W STATE ROUTE 89A, #113
SEDONA, AZ
ZIP 86336
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Facility Phone Number: (928) 204-2540

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1114384609

Taxonomy: 363A00000X - Physician Assistant
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

CLIA Record

Field Name	Field Value
CLIA Number	03D2114996
LAB Type	PHYSICIAN OFFICE
Facility Name	WEST SEDONA FAMILY PRACTICE
Street	2155 W STATE ROUTE 89A, #113
City	SEDONA
State	AZ
ZIP	86336
Phone	(928) 204-2540

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This page was last updated on: 5/11/2023