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CLIA 03D2303254: Prescott Professional Healthcare, PLLC

Prescott, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D2303254 belongs to Prescott Professional Healthcare, PLLC in Prescott, AZ.

Certificate of Waiver, effective April 23, 2026, expires April 22, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
April 23, 2026
Certificate expiration
April 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 23, 2024
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Lab and contact

CLIA number
03D2303254
Lab name
Prescott Professional Healthcare, PLLC
Address
3195 Stillwater Dr Ste B, Prescott, AZ 86305
Phone
(928) 515-2803
Fax
(928) 277-1323

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Prescott, AZ

Related

Questions

What is the CLIA number for Prescott Professional Healthcare, PLLC in Prescott?

03D2303254, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prescott Professional Healthcare, PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2303254 expire?

The CMS file lists April 22, 2028 as the certificate expiration date; the certificate took effect April 23, 2026.

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