03D2146491 CLIA NUMBER - CORONADO SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 03D2146491
  • Facility Name: CORONADO SURGERY CENTER
  • Facility Address: 150 S CORONADO DR STE 100
    SIERRA VISTA, AZ
    ZIP 85635
  • Facility Phone: 520 335-8450
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANNEKA F. MIGUEL
  • NPI Number: 1215489182
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2146491
LAB Type Ambulatory Surgery Center
Facility Name CORONADO SURGERY CENTER
Street 150 S CORONADO DR STE 100
City SIERRA VISTA
State AZ
ZIP 85635
Phone 520 335-8450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Ambulatory Surgery Center
Lab Director ANNEKA F. MIGUEL

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