05D0676863 CLIA NUMBER - SONORA COMMUNITY HOSPITAL DBA PROMPT CARE INDIAN ROCK

Laboratory Demographics

  • CLIA Code: 05D0676863
  • Facility Name: SONORA COMMUNITY HOSPITAL DBA PROMPT CARE INDIAN ROCK
  • Facility Address: 14550 HIGHWAY 108
    SONORA, CA
    ZIP 95370
  • Facility Phone: 209 536-5052
  • Facility Type: Other - PROMPT CARE
  • Facility Type: Waiver
  • Lab Director: STEPHANIE STUART
  • NPI Number: 1821089749
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0676863
LAB Type Other - PROMPT CARE
Facility Name SONORA COMMUNITY HOSPITAL DBA PROMPT CARE INDIAN ROCK
Street 14550 HIGHWAY 108
City SONORA
State CA
ZIP 95370
Phone 209 536-5052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Other - PROMPT CARE
Lab Director STEPHANIE STUART

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