CLIA lab
CLIA 03D0861570: Supai Indian Health Clinic
Supai, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0861570 belongs to Supai Indian Health Clinic in Supai, AZ.
Certificate of Waiver, effective April 25, 2026, expires April 24, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 25, 2026
- Certificate expiration
- April 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 11, 1993
- Facility type
- Federally qualified health center
- Ownership (control type)
- Government, federal
- 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
- 03D0861570
- Lab name
- Supai Indian Health Clinic
- Address
- 129 Main St, PO Box 129, Supai, AZ 86435
- Phone
- (928) 669-3224
- Fax
- (928) 669-3223
Annual test volume the lab reported
- Waived tests
- 780
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Supai Indian Health Clinic in Supai?
03D0861570, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Supai Indian Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D0861570 expire?
The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.