03D2284242 CLIA NUMBER - PROSANO HEALTH SOLUTIONS

Laboratory Demographics

  • CLIA Code: 03D2284242
  • Facility Name: PROSANO HEALTH SOLUTIONS
  • Facility Address: 9321 W THOMAS RD STE 420
    GLENDALE, AZ
    ZIP 85307
  • Facility Phone: 855 776-7266
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WYLIE CARHARTT
  • NPI Number: 1427812197
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2284242
LAB Type Physician Office
Facility Name PROSANO HEALTH SOLUTIONS
Street 9321 W THOMAS RD STE 420
City GLENDALE
State AZ
ZIP 85307
Phone 855 776-7266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director WYLIE CARHARTT

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