CLIA lab
CLIA 03D1060099: Jolley Family Assisted Living Home
Buckeye, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1060099 belongs to Jolley Family Assisted Living Home in Buckeye, AZ.
Certificate of Waiver, effective October 16, 2026, expires October 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 16, 2026
- Certificate expiration
- October 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 16, 2006
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 03D1060099
- Lab name
- Jolley Family Assisted Living Home
- Address
- 20106 W Broadway Road, Buckeye, AZ 85326
- Phone
- (623) 327-0995
- Fax
- (623) 327-0996
Annual test volume the lab reported
- Waived tests
- 730
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 Jolley Family Assisted Living Home in Buckeye?
03D1060099, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jolley Family Assisted Living Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1060099 expire?
The CMS file lists October 15, 2028 as the certificate expiration date; the certificate took effect October 16, 2026.