CLIA lab
CLIA 03D0890458: Arizona Desert Dermatology and Surgery, PC
Lake Havasu City, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0890458 belongs to Arizona Desert Dermatology and Surgery, PC in Lake Havasu City, AZ.
Certificate of Compliance, effective October 13, 2025, expires October 12, 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
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 Compliance
- Certificate effective
- October 13, 2025
- Certificate expiration
- October 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 18, 1994
- Facility type
- Physician office
- 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
- 03D0890458
- Lab name
- Arizona Desert Dermatology and Surgery, PC
- Address
- 2091 N Smoke Tree Ave Suite 103, Lake Havasu City, AZ 86403
- Phone
- (928) 453-3332
- Fax
- (928) 453-1590
Annual test volume the lab reported
- Other nonwaived tests
- 11,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Havasu City, AZ
- Acacia Hospice Care of Lake Havasu, IncCertificate of Waiver, Hospice03D2226783
- Akdhc - Lake HavasuCertificate for Provider-Performed Microscopy Procedures, Physician office03D1051453
- Albertsons Pharmacy #3204Certificate of Waiver, Pharmacy03D2111176
- Arizona In-Home Partner-I, LLCCertificate of Waiver, Home health agency03D0947853
- Arizona Recovery CenterCertificate of Waiver, Physician office03D2208096
- Bdpec ASC Lake Havasu CityCertificate of Waiver, Ambulatory surgery center03D2123973
- Claremont Assisted LivingCertificate of Waiver, Skilled nursing or nursing facility03D1069136
- Concierge Health, LLCCertificate of Waiver, Other practitioner03D2274993
- Cornerstone Family HealthcareCertificate of Waiver, Physician office03D0862809
- DR Jeff Carls Family Medicine and AestheticsCertificate of Waiver, Physician office03D2250631
Related
Questions
What is the CLIA number for Arizona Desert Dermatology and Surgery, PC in Lake Havasu City?
03D0890458, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arizona Desert Dermatology and Surgery, PC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 03D0890458 expire?
The CMS file lists October 12, 2027 as the certificate expiration date; the certificate took effect October 13, 2025.