03D2198889 CLIA NUMBER - SOLTERRA AT WHITE MOUNTAINS TWO, LLC

Laboratory Demographics

  • CLIA Code: 03D2198889
  • Facility Name: SOLTERRA AT WHITE MOUNTAINS TWO, LLC
  • Facility Address: 5408 ARIZONA HIGHWAY 260
    LAKESIDE, AZ
    ZIP 85929
  • Facility Phone: 928 532-4600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SUNSHINE TIPPETS
  • NPI Number: 1588838874
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2198889
LAB Type Assisted Living Facility
Facility Name SOLTERRA AT WHITE MOUNTAINS TWO, LLC
Street 5408 ARIZONA HIGHWAY 260
City LAKESIDE
State AZ
ZIP 85929
Phone 928 532-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Assisted Living Facility
Lab Director SUNSHINE TIPPETS

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