CLIA lab
CLIA 03D0990956: Hopi Dialysis Center
Polacca, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0990956 belongs to Hopi Dialysis Center in Polacca, AZ.
Certificate of Waiver, effective September 6, 2025, expires September 5, 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 Waiver
- Certificate effective
- September 6, 2025
- Certificate expiration
- September 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 6, 2001
- Facility type
- End stage renal disease dialysis 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
- 03D0990956
- Lab name
- Hopi Dialysis Center
- Address
- Highway 264 Mile Marker 388, Polacca, AZ 86042
- Phone
- (928) 737-5490
- Fax
- (928) 737-5497
Annual test volume the lab reported
- Waived tests
- 7,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Polacca, AZ
Related
Questions
What is the CLIA number for Hopi Dialysis Center in Polacca?
03D0990956, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hopi Dialysis Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D0990956 expire?
The CMS file lists September 5, 2027 as the certificate expiration date; the certificate took effect September 6, 2025.