03D2180604 CLIA NUMBER - DAVIS ORTHOPAEDICS LLC DBA WINDSONG PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 03D2180604
  • Facility Name: DAVIS ORTHOPAEDICS LLC DBA WINDSONG PRIMARY CARE
  • Facility Address: 3221 N WINDSONG DR
    PRESCOTT VALLEY, AZ
    ZIP 86314
  • Facility Phone: 928 910-7010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK B. DAVIS
  • NPI Number: 1902471097
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 03D2180604
LAB Type Physician Office
Facility Name DAVIS ORTHOPAEDICS LLC DBA WINDSONG PRIMARY CARE
Street 3221 N WINDSONG DR
City PRESCOTT VALLEY
State AZ
ZIP 86314
Phone 928 910-7010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director MARK B. DAVIS

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This page was last updated on: 3/20/2025