CLIA lab
CLIA 03D1017965: Archie Hendricks SR Skilled Nursing Facility
Sells, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1017965 belongs to Archie Hendricks SR Skilled Nursing Facility in Sells, AZ.
Certificate of Waiver, effective October 9, 2025, expires October 8, 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
- October 9, 2025
- Certificate expiration
- October 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 9, 2003
- Facility type
- Skilled nursing or nursing facility
- 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
- 03D1017965
- Lab name
- Archie Hendricks SR Skilled Nursing Facility
- Address
- Bia Federal Hwy 15/MILEPOST 9, Sells, AZ 85634
- Phone
- (520) 361-1800
- Fax
- (520) 361-3656
Annual test volume the lab reported
- Waived tests
- 20,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Archie Hendricks SR Skilled Nursing Facility in Sells?
03D1017965, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Archie Hendricks SR Skilled Nursing Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1017965 expire?
The CMS file lists October 8, 2027 as the certificate expiration date; the certificate took effect October 9, 2025.