03D2003118 CLIA NUMBER - SURPRISE FAMILY MEDICINE, PLC

Laboratory Demographics

  • CLIA Code: 03D2003118
  • Facility Name: SURPRISE FAMILY MEDICINE, PLC
  • Facility Address: 14239 W BELL RD, STE 225
    SURPRISE, AZ
    ZIP 85374
  • Facility Phone: 623 544-0101
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVEN C. HORROCKS
  • NPI Number: 1114462330
  • Taxonomy: 261QD0000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2003118
LAB Type Physician Office
Facility Name SURPRISE FAMILY MEDICINE, PLC
Street 14239 W BELL RD, STE 225
City SURPRISE
State AZ
ZIP 85374
Phone 623 544-0101
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director STEVEN C. HORROCKS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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