CLIA lab
CLIA 03D0964580: Honorhealth Medical Group Dynamite
Cave Creek, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0964580 belongs to Honorhealth Medical Group Dynamite in Cave Creek, AZ.
Certificate of Waiver, effective February 20, 2026, expires February 19, 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
- February 20, 2026
- Certificate expiration
- February 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 27, 1999
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D0964580
- Lab name
- Honorhealth Medical Group Dynamite
- Address
- 4712 E Dynamite Blvd, Cave Creek, AZ 85331
- Phone
- (480) 342-8711
- Fax
- (480) 342-7077
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Da Vinci Health ServicesCertificate of Waiver, Other practitioner03D2124726
- Eye Care NorthCertificate of Waiver, Other practitioner03D2277512
- Fry's Food and Drug #474Certificate of Waiver, Pharmacy03D1094483
- Frys Food and Drug #67Certificate of Waiver, Other03D2044015
- Maian PediatricsCertificate of Waiver, Physician office03D2176598
- Minuteclinic, LLC #07852Certificate of Waiver, Other03D1059676
Related
Questions
What is the CLIA number for Honorhealth Medical Group Dynamite in Cave Creek?
03D0964580, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Honorhealth Medical Group Dynamite hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D0964580 expire?
The CMS file lists February 19, 2028 as the certificate expiration date; the certificate took effect February 20, 2026.