03D2131086 CLIA NUMBER - Priola Primary, Palliative And Hospice

Laboratory Demographics

CLIA Number: 03D2131086

Facility Name: Priola Primary, Palliative And Hospice

Facility Address:
3105 Clearwater Dr, Ste B
Prescott, AZ
ZIP 86305
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Facility Phone Number: (928) 778-0626

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1710337621

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name Field Value
CLIA Number 03D2131086
LAB Type OTHER PRACTITIONER
Facility Name Priola Primary, Palliative And Hospice
Street 3105 Clearwater Dr, Ste B
City Prescott
State AZ
ZIP 86305
Phone (928) 778-0626

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