05D0680564 CLIA NUMBER - SONORA COMMUNITY HOSPITAL DBA GROVELAND FAMILY MEDICAL

Laboratory Demographics

  • CLIA Code: 05D0680564
  • Facility Name: SONORA COMMUNITY HOSPITAL DBA GROVELAND FAMILY MEDICAL
  • Facility Address: 18661 HWY 120
    GROVELAND, CA
    ZIP 95321
  • Facility Phone: 209 536-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN E. SHIELD
  • NPI Number: 1356332274
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0680564
LAB Type Physician Office
Facility Name SONORA COMMUNITY HOSPITAL DBA GROVELAND FAMILY MEDICAL
Street 18661 HWY 120
City GROVELAND
State CA
ZIP 95321
Phone 209 536-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director STEVEN E. SHIELD

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