05D2067403 CLIA NUMBER - SONORA PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 05D2067403
  • Facility Name: SONORA PRIMARY CARE
  • Facility Address: 13951 MONO WAY STE A
    SONORA, CA
    ZIP 95370
  • Facility Phone: 209 532-3370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY D. HOOPER, MD
  • NPI Number: 1053675488
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2067403
LAB Type Physician Office
Facility Name SONORA PRIMARY CARE
Street 13951 MONO WAY STE A
City SONORA
State CA
ZIP 95370
Phone 209 532-3370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Physician Office
Lab Director TIMOTHY D. HOOPER, MD

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