11D2191956 CLIA NUMBER - SOVEREIGN AND GRACE SERVICES DBA A R K DIAGNOSTICS SOLUTIONS

Laboratory Demographics

  • CLIA Code: 11D2191956
  • Facility Name: SOVEREIGN AND GRACE SERVICES DBA A R K DIAGNOSTICS SOLUTIONS
  • Facility Address: 551 SMITH AVENUE, SUITE A
    THOMASVILLE, GA
    ZIP 31792
  • Facility Phone: 229 403-5252
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ANYA A. SANDERS
  • NPI Number: 1932717618
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2191956
LAB Type Mobile Laboratory
Facility Name SOVEREIGN AND GRACE SERVICES DBA A R K DIAGNOSTICS SOLUTIONS
Street 551 SMITH AVENUE, SUITE A
City THOMASVILLE
State GA
ZIP 31792
Phone 229 403-5252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Mobile Laboratory
Lab Director ANYA A. SANDERS

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