03D2299063 CLIA NUMBER - PATE COMPLETE HEATLHCARE

Laboratory Demographics

  • CLIA Code: 03D2299063
  • Facility Name: PATE COMPLETE HEATLHCARE
  • Facility Address: 3101 CLEARWATER DR STE B
    PRESCOTT, AZ
    ZIP 86305
  • Facility Phone: 928 277-4622
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHURINE PATE
  • NPI Number: 1174243505
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2299063
LAB Type Physician Office
Facility Name PATE COMPLETE HEATLHCARE
Street 3101 CLEARWATER DR STE B
City PRESCOTT
State AZ
ZIP 86305
Phone 928 277-4622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Physician Office
Lab Director SHURINE PATE

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