03D2132810 CLIA NUMBER - AVISTA SENIOR LIVING PRESCOTT

Laboratory Demographics

CLIA Number: 03D2132810

Facility Name: AVISTA SENIOR LIVING PRESCOTT

Facility Address:
211 BRADSHAW DR
PRESCOTT, AZ
ZIP 86303
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Facility Phone Number: (928) 777-5511

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2132810
LAB Type	ASSISTED LIVING FACILITY
Facility Name	AVISTA SENIOR LIVING PRESCOTT
Street	211 BRADSHAW DR
City	PRESCOTT
State	AZ
ZIP	86303
Phone	(928) 777-5511

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