CLIA lab

CLIA 03D1040843: White Mountain Ambulance Service Inc

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

CLIA number 03D1040843 belongs to White Mountain Ambulance Service Inc in Springerville, AZ.

Certificate of Waiver, effective May 18, 2025, expires May 17, 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
May 18, 2025
Certificate expiration
May 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 18, 2005
Facility type
Ambulance
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
03D1040843
Lab name
White Mountain Ambulance Service Inc
Address
118 S Mountain Ave, Springerville, AZ 85938
Phone
(928) 333-4202
Fax
(928) 333-5914

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Springerville, AZ

Related

Questions

What is the CLIA number for White Mountain Ambulance Service Inc in Springerville?

03D1040843, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does White Mountain Ambulance Service Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D1040843 expire?

The CMS file lists May 17, 2027 as the certificate expiration date; the certificate took effect May 18, 2025.

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