03D2294568 CLIA NUMBER - SUN CITY CLINICAL RESEARCH

Laboratory Demographics

  • CLIA Code: 03D2294568
  • Facility Name: SUN CITY CLINICAL RESEARCH
  • Facility Address: 11851 N 51ST AVE BLDG G
    GLENDALE, AZ
    ZIP 85304
  • Facility Phone: 623 253-9777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN RODRIGUEZ
  • NPI Number: 1821063389
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 03D2294568
LAB Type Physician Office
Facility Name SUN CITY CLINICAL RESEARCH
Street 11851 N 51ST AVE BLDG G
City GLENDALE
State AZ
ZIP 85304
Phone 623 253-9777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Physician Office
Lab Director JUAN RODRIGUEZ

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