03D1103397 CLIA NUMBER - SUNRISE PEDIATRICS, PLC

Laboratory Demographics

  • CLIA Code: 03D1103397
  • Facility Name: SUNRISE PEDIATRICS, PLC
  • Facility Address: 4100 S LINDSAY RD STE #126
    GILBERT, AZ
    ZIP 85297
  • Facility Phone: 480 892-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SONAL S. SHAH, MD
  • NPI Number: 1144452079
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 03D1103397
LAB Type Physician Office
Facility Name SUNRISE PEDIATRICS, PLC
Street 4100 S LINDSAY RD STE #126
City GILBERT
State AZ
ZIP 85297
Phone 480 892-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director SONAL S. SHAH, MD

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