03D2196925 CLIA NUMBER - SOLTERRA 3RD INDIAN SCHOOL OPERATIONS, LLC

Laboratory Demographics

  • CLIA Code: 03D2196925
  • Facility Name: SOLTERRA 3RD INDIAN SCHOOL OPERATIONS, LLC
  • Facility Address: 4000 N 3RD AVE
    PHOENIX, AZ
    ZIP 85013
  • Facility Phone: 480 653-9500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ERICA HICKS
  • NPI Number: 1467949156
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2196925
LAB Type Assisted Living Facility
Facility Name SOLTERRA 3RD INDIAN SCHOOL OPERATIONS, LLC
Street 4000 N 3RD AVE
City PHOENIX
State AZ
ZIP 85013
Phone 480 653-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Assisted Living Facility
Lab Director ERICA HICKS

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