03D2115594 CLIA NUMBER - MS PHYSICIANS GROUP DBA CENTRA INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 03D2115594
  • Facility Name: MS PHYSICIANS GROUP DBA CENTRA INTERNAL MEDICINE
  • Facility Address: 13000 N 103RD AVENUE, STE 60
    SUN CITY, AZ
    ZIP 85351
  • Facility Phone: 623 594-4126
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANISH SAHNI
  • NPI Number: 1891138582
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2115594
LAB Type Physician Office
Facility Name MS PHYSICIANS GROUP DBA CENTRA INTERNAL MEDICINE
Street 13000 N 103RD AVENUE, STE 60
City SUN CITY
State AZ
ZIP 85351
Phone 623 594-4126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director MANISH SAHNI

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This page was last updated on: 6/4/2025