03D2293301 CLIA NUMBER - PRESCOTT HEALTHCARE SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 03D2293301
  • Facility Name: PRESCOTT HEALTHCARE SOLUTIONS LLC
  • Facility Address: 309 MESQUITE AVE
    LAKE HAVASU CITY, AZ
    ZIP 86403
  • Facility Phone: 928 453-1970
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIELLA HANCOCK
  • NPI Number: 1720034697
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2293301
LAB Type Physician Office
Facility Name PRESCOTT HEALTHCARE SOLUTIONS LLC
Street 309 MESQUITE AVE
City LAKE HAVASU CITY
State AZ
ZIP 86403
Phone 928 453-1970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director GABRIELLA HANCOCK

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