CLIA lab
CLIA 03D1062453: Benevilla
Surprise, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1062453 belongs to Benevilla in Surprise, AZ.
Certificate of Waiver, effective December 14, 2024, expires December 13, 2026.
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
- December 14, 2024
- Certificate expiration
- December 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 14, 2006
- Facility type
- Other
- 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
- 03D1062453
- Lab name
- Benevilla
- Address
- 16752 N Greasewood St, Surprise, AZ 85374
- Phone
- (623) 584-4999
- Fax
- (623) 546-1589
Annual test volume the lab reported
- Waived tests
- 12
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 Benevilla in Surprise?
03D1062453, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Benevilla hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1062453 expire?
The CMS file lists December 13, 2026 as the certificate expiration date; the certificate took effect December 14, 2024.