SANORAN LAB SERVICES LLC
NPI 1114873841
Clinical Medical Laboratory in Phoenix, AZ

Active since March 05, 2026CLIA 03D2340780 · Waiver
4539 N 22ND ST # 8001, PHOENIX, AZ 85016(201) 582-3459 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2026, Apr 15, 2026, Apr 10, 2026 and 3 more (6 updates tracked since 2026).

About Sanoran Lab Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANORAN LAB SERVICES LLC (NPI 1114873841) is a healthcare organization registered as a clinical medical laboratory in Phoenix, Arizona and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Mossa Al Fakhouri, Owner, as its authorized official.

NPPES Registry Identity

NPI1114873841
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSANORAN LAB SERVICES LLC
Location Address4539 N 22ND ST # 8001Phoenix, AZ 85016-4639
Mailing Address4539 N 22nd St # 8001Phoenix, AZ 85016-4639 · (201) 582-3459
Organization SubpartNo
Authorized OfficialMossa Al FakhouriOwner · (201) 582-3459
Enumeration DateMarch 5, 2026
Last NPPES UpdateMay 4, 20266 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1114873841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
4539 N 22ND ST # 8001, Phoenix, AZ 85016

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2340780

Sanoran Lab Services LLC · Phoenix, AZ
Active · expires Mar 22, 2028
CLIA Number03D2340780
Laboratory TypeIndependent
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorMossa Al Fakhouri
Laboratory Phone(602) 960-7973
Laboratory LocationSanoran Lab Services LLC4539 N 22nd St Ste 8001, Phoenix, AZ 85016
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanoran Lab Services LLC's NPI number?

The NPI number for Sanoran Lab Services LLC is 1114873841. It was assigned to this organization in the NPPES registry on March 5, 2026.

Where is Sanoran Lab Services LLC located?

Sanoran Lab Services LLC is located at 4539 N 22nd St # 8001, Phoenix, AZ 85016. The listed phone number is (201) 582-3459.

What is Sanoran Lab Services LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Sanoran Lab Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2340780) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sanoran Lab Services LLC was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.