03D2160508 CLIA NUMBER - INFINITY FAMILY WELLNESS

Laboratory Demographics

  • CLIA Code: 03D2160508
  • Facility Name: INFINITY FAMILY WELLNESS
  • Facility Address: 1672 OAKLAWN DR
    PRESCOTT, AZ
    ZIP 86305
  • Facility Phone: 928 445-5339
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEILA K. BUSCH
  • NPI Number: 1609346352
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2160508
LAB Type Physician Office
Facility Name INFINITY FAMILY WELLNESS
Street 1672 OAKLAWN DR
City PRESCOTT
State AZ
ZIP 86305
Phone 928 445-5339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director SHEILA K. BUSCH

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