CLIA lab
CLIA 03D0641975: Payson Care Center
Payson, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0641975 belongs to Payson Care Center in Payson, AZ.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 11, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D0641975
- Lab name
- Payson Care Center
- Address
- 107 E Lone Pine Dr, Payson, AZ 85541
- Phone
- (928) 474-6996
- Fax
- (928) 474-6997
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Payson Care CenterCMS Care Compare ratings for the facility at the same street address
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- Banner HealthCertificate of Waiver, Other practitioner03D1049769
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- Banner Health ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office03D2277824
- Banner Home Care - ArizonaCertificate of Waiver, Home health agency03D2261830
- Banner Payson Blood Gas LabCertificate of Accreditation, Hospital03D2116229
Related
Questions
What is the CLIA number for Payson Care Center in Payson?
03D0641975, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Payson Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D0641975 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.