CLIA lab
CLIA 03D1039169: La Paz Regional Hospital DBA Tri-Valley Medical
Salome, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1039169 belongs to La Paz Regional Hospital DBA Tri-Valley Medical in Salome, AZ.
Certificate of Waiver, effective July 1, 2025, expires June 30, 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
- July 1, 2025
- Certificate expiration
- June 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 6, 2005
- Facility type
- Community clinic
- 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
- 03D1039169
- Lab name
- La Paz Regional Hospital DBA Tri-Valley Medical
- Additional name
- Center
- Address
- 39726 Harquahala Rd, Salome, AZ 85348
- Phone
- (928) 859-3460
- Fax
- (928) 859-3475
Annual test volume the lab reported
- Waived tests
- 1,000
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 La Paz Regional Hospital DBA Tri-Valley Medical in Salome?
03D1039169, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does La Paz Regional Hospital DBA Tri-Valley Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1039169 expire?
The CMS file lists June 30, 2027 as the certificate expiration date; the certificate took effect July 1, 2025.