CLIA lab
CLIA 03D0904395: Privia Medical Group Arizona, LLC
Goodyear, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0904395 belongs to Privia Medical Group Arizona, LLC in Goodyear, AZ.
Certificate for Provider-Performed Microscopy Procedures, effective August 17, 2025, expires August 16, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 17, 2025
- Certificate expiration
- August 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 1995
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 03D0904395
- Lab name
- Privia Medical Group Arizona, LLC
- Address
- 13555 W Mcdowell Rd, Suite #103, Goodyear, AZ 85395
- Phone
- (623) 633-3848
- Fax
- (602) 633-3841
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Related
Questions
What is the CLIA number for Privia Medical Group Arizona, LLC in Goodyear?
03D0904395, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Privia Medical Group Arizona, LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 03D0904395 expire?
The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.