CLIA lab
CLIA 03D0874124: Haven of Douglas, LLC
Douglas, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0874124 belongs to Haven of Douglas, LLC in Douglas, AZ.
Certificate of Waiver, effective August 4, 2025, expires August 3, 2027.
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
- August 4, 2025
- Certificate expiration
- August 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 4, 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
- 03D0874124
- Lab name
- Haven of Douglas, LLC
- Address
- 1400 N San Antonio Ave, Douglas, AZ 85607
- Phone
- (520) 364-7937
- Fax
- (520) 805-9146
Annual test volume the lab reported
- Waived tests
- 1,668
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Haven of DouglasCMS Care Compare ratings for the facility at the same street address
Other labs in Douglas, AZ
- CSL Plasma, IncCertificate of Compliance, Other03D2131981
- Cchci Pediatric Center of ExcellenceCertificate of Waiver, Federally qualified health center03D2018941
- City of Douglas Fire DepartmentCertificate of Waiver, Ambulance03D1027020
- Community Health Associates, LLCCertificate of Waiver, Community clinic03D2098231
- Copper Queen Community HospitalCertificate of Compliance, Other03D2124326
- Copper Queen Medical Associates - DouglasCertificate of Waiver, Rural health clinic03D0969812
- Dci-Douglas Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility03D1085107
- Douglas - Acute Care ClinicCertificate of Waiver, Federally qualified health center03D2278096
- Douglas Family Care, PLLCCertificate of Waiver, Physician office03D1076482
- Early Childhood Center of ExcellenceCertificate of Waiver, Federally qualified health center03D2150404
Related
Questions
What is the CLIA number for Haven of Douglas, LLC in Douglas?
03D0874124, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Haven of Douglas, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D0874124 expire?
The CMS file lists August 3, 2027 as the certificate expiration date; the certificate took effect August 4, 2025.