03D2278806 CLIA NUMBER - HIGH MARK INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 03D2278806
  • Facility Name: HIGH MARK INTERNAL MEDICINE
  • Facility Address: 214 N MCCORMICK ST
    PRESCOTT, AZ
    ZIP 86301
  • Facility Phone: 928 237-9800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIK P. CONTERAS
  • NPI Number: 1689321903
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2278806
LAB Type Physician Office
Facility Name HIGH MARK INTERNAL MEDICINE
Street 214 N MCCORMICK ST
City PRESCOTT
State AZ
ZIP 86301
Phone 928 237-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director ERIK P. CONTERAS

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