03D2170257 CLIA NUMBER - SONORAN FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 03D2170257
  • Facility Name: SONORAN FAMILY PRACTICE
  • Facility Address: 171 W CENTRAL AVE
    COOLIDGE, AZ
    ZIP 85128
  • Facility Phone: 520 723-7726
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHETAN S. PATEL
  • NPI Number: 1922653690
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D2170257
LAB Type Physician Office
Facility Name SONORAN FAMILY PRACTICE
Street 171 W CENTRAL AVE
City COOLIDGE
State AZ
ZIP 85128
Phone 520 723-7726
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 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director CHETAN S. PATEL

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