03D2309019 CLIA NUMBER - ALPINE MEADOWS NP SERVICES DBA WESTERN WELLNESS AND WEIGHT LOSS

Laboratory Demographics

  • CLIA Code: 03D2309019
  • Facility Name: ALPINE MEADOWS NP SERVICES DBA WESTERN WELLNESS AND WEIGHT LOSS
  • Facility Address: 2123 SUNSET POINTE STE A
    MIAMI, AZ
    ZIP 85539
  • Facility Phone: 928 961-1554
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JEANR R. TURNEY-SHAW
  • NPI Number: 1093524852
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2309019
LAB Type Practitioner Other
Facility Name ALPINE MEADOWS NP SERVICES DBA WESTERN WELLNESS AND WEIGHT LOSS
Street 2123 SUNSET POINTE STE A
City MIAMI
State AZ
ZIP 85539
Phone 928 961-1554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Practitioner Other
Lab Director JEANR R. TURNEY-SHAW

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