03D0957477 CLIA NUMBER - SONORAN MEDICAL CENTERS, PLC

Laboratory Demographics

  • CLIA Code: 03D0957477
  • Facility Name: SONORAN MEDICAL CENTERS, PLC
  • Facility Address: 19875 N 51ST AVE
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 623 581-8998
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAELA M. SKELLY
  • NPI Number: 1417053885
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0957477
LAB Type Physician Office
Facility Name SONORAN MEDICAL CENTERS, PLC
Street 19875 N 51ST AVE
City GLENDALE
State AZ
ZIP 85308
Phone 623 581-8998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director MICHAELA M. SKELLY

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