05D2048510 CLIA NUMBER - SONORA COMMUNITY HOSPITAL DBA SIERRA CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D2048510
  • Facility Name: SONORA COMMUNITY HOSPITAL DBA SIERRA CARE CENTER
  • Facility Address: 179 S FAIRVIEW LN SIERRA CARE CENTER
    SONORA, CA
    ZIP 95370
  • Facility Phone: 209 536-3859
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MATTHEW L. PERSONIUS
  • NPI Number: 1992796593
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 05D2048510
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SONORA COMMUNITY HOSPITAL DBA SIERRA CARE CENTER
Street 179 S FAIRVIEW LN SIERRA CARE CENTER
City SONORA
State CA
ZIP 95370
Phone 209 536-3859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MATTHEW L. PERSONIUS

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