03D2146791 CLIA NUMBER - PRESCOTT HEALTHCARE SOLUTIONS LLC DBA OPTIMA MEDICAL

Laboratory Demographics

  • CLIA Code: 03D2146791
  • Facility Name: PRESCOTT HEALTHCARE SOLUTIONS LLC DBA OPTIMA MEDICAL
  • Facility Address: 2286 CROSSWIND DRIVE, SUITE C
    PRESCOTT, AZ
    ZIP 86301
  • Facility Phone: 928 216-3160
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIELLA HANCOCK
  • NPI Number: 1235701327
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2146791
LAB Type Physician Office
Facility Name PRESCOTT HEALTHCARE SOLUTIONS LLC DBA OPTIMA MEDICAL
Street 2286 CROSSWIND DRIVE, SUITE C
City PRESCOTT
State AZ
ZIP 86301
Phone 928 216-3160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director GABRIELLA HANCOCK

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This page was last updated on: 9/29/2025