03D2123430 CLIA NUMBER - PROTOTYPE HEALTH, INC

Laboratory Demographics

CLIA Number: 03D2123430

Facility Name: PROTOTYPE HEALTH, INC

Facility Address:
205 E SOUTHERN AVE, #103
MESA, AZ
ZIP 85210
Get Directions

Facility Phone Number: (480) 999-1717

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1861165144

Taxonomy: 175F00000X - Naturopath
Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

CLIA Record

Field Name	Field Value
CLIA Number	03D2123430
LAB Type	PHYSICIAN OFFICE
Facility Name	PROTOTYPE HEALTH, INC
Street	205 E SOUTHERN AVE, #103
City	MESA
State	AZ
ZIP	85210
Phone	(480) 999-1717

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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