03D2314818 CLIA NUMBER - DENOVA COLLABORATIVE HEALTH

Laboratory Demographics

  • CLIA Code: 03D2314818
  • Facility Name: DENOVA COLLABORATIVE HEALTH
  • Facility Address: 555 W FOREST MEADOWS ST STE 18
    FLAGSTAFF, AZ
    ZIP 86001
  • Facility Phone: 602 230-7373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARTHUR L. PELBERG
  • NPI Number: 1871915827
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2314818
LAB Type Physician Office
Facility Name DENOVA COLLABORATIVE HEALTH
Street 555 W FOREST MEADOWS ST STE 18
City FLAGSTAFF
State AZ
ZIP 86001
Phone 602 230-7373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director ARTHUR L. PELBERG

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