CLIA lab
CLIA 03D1029374: Holbrook EMS, Inc
Holbrook, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1029374 belongs to Holbrook EMS, Inc in Holbrook, AZ.
Certificate of Waiver, effective August 16, 2026, expires August 15, 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
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
- August 16, 2026
- Certificate expiration
- August 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 16, 2004
- Facility type
- Ambulance
- Ownership (control type)
- Private
- 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
- 03D1029374
- Lab name
- Holbrook EMS, Inc
- Address
- 30 W Vista Drive, Holbrook, AZ 86025
- Phone
- (928) 524-2190
- Fax
- (928) 524-1477
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Holbrook, AZ
Related
Questions
What is the CLIA number for Holbrook EMS, Inc in Holbrook?
03D1029374, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Holbrook EMS, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1029374 expire?
The CMS file lists August 15, 2028 as the certificate expiration date; the certificate took effect August 16, 2026.