03D2293203 CLIA NUMBER - SONORA QUEST LABORATORIES-AZ ONCOLOGY PRESCOTT

Laboratory Demographics

  • CLIA Code: 03D2293203
  • Facility Name: SONORA QUEST LABORATORIES-AZ ONCOLOGY PRESCOTT
  • Facility Address: 5430 LANDMARK LANE
    PRESCOTT, AZ
    ZIP 86301
  • Facility Phone: 928 775-9430
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. GHASSAN J. IBRAHIM
  • NPI Number: 1386421535
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 03D2293203
LAB Type Physician Office
Facility Name SONORA QUEST LABORATORIES-AZ ONCOLOGY PRESCOTT
Street 5430 LANDMARK LANE
City PRESCOTT
State AZ
ZIP 86301
Phone 928 775-9430
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director DR. GHASSAN J. IBRAHIM

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