CLIA lab

CLIA 03D1026047: Advanced Spine & Rehab PC

Mesa, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D1026047 belongs to Advanced Spine & Rehab PC in Mesa, AZ.

Certificate of Waiver, effective February 12, 2026, expires February 11, 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 12, 2026
Certificate expiration
February 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 25, 2004
Facility type
Physician office
Ownership (control type)
Proprietary
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
03D1026047
Lab name
Advanced Spine & Rehab PC
Address
4540 E Baseline Rd Ste 111, Mesa, AZ 85206
Phone
(480) 892-1122
Fax
(480) 892-2243

Annual test volume the lab reported

Waived tests
2,000

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 Advanced Spine & Rehab PC in Mesa?

03D1026047, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Advanced Spine & Rehab PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D1026047 expire?

The CMS file lists February 11, 2028 as the certificate expiration date; the certificate took effect February 12, 2026.

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