03D2274993 CLIA NUMBER - CONCIERGE HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 03D2274993
  • Facility Name: CONCIERGE HEALTH, LLC
  • Facility Address: 1600 MCCULLOUGH BLVD N, STE 3A
    LAKE HAVASU CITY, AZ
    ZIP 86403
  • Facility Phone: 928 412-3955
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHELLE A. WITZEL
  • NPI Number: 1851144901
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2274993
LAB Type Practitioner Other
Facility Name CONCIERGE HEALTH, LLC
Street 1600 MCCULLOUGH BLVD N, STE 3A
City LAKE HAVASU CITY
State AZ
ZIP 86403
Phone 928 412-3955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Practitioner Other
Lab Director MICHELLE A. WITZEL

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