39D1075057 CLIA NUMBER - SOTOMAYOR MEDICAL PRACTICE PC

Laboratory Demographics

  • CLIA Code: 39D1075057
  • Facility Name: SOTOMAYOR MEDICAL PRACTICE PC
  • Facility Address: 1220 CENTRE AVE
    READING, PA
    ZIP 19601
  • Facility Phone: 610 898-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATILDE R. SOTOMAYOR MD
  • NPI Number: 1285783597
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D1075057
LAB Type Physician Office
Facility Name SOTOMAYOR MEDICAL PRACTICE PC
Street 1220 CENTRE AVE
City READING
State PA
ZIP 19601
Phone 610 898-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director MATILDE R. SOTOMAYOR MD

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