03D2190724 CLIA NUMBER - CABALUNA MEDICAL

Laboratory Demographics

  • CLIA Code: 03D2190724
  • Facility Name: CABALUNA MEDICAL
  • Facility Address: 2001 EXCELLENCE WAY STE 200
    PRESCOTT, AZ
    ZIP 86301
  • Facility Phone: 928 460-7260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEAL H. CABALUNA
  • NPI Number: 1396363594
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2190724
LAB Type Physician Office
Facility Name CABALUNA MEDICAL
Street 2001 EXCELLENCE WAY STE 200
City PRESCOTT
State AZ
ZIP 86301
Phone 928 460-7260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director NEAL H. CABALUNA

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