CLIA lab
CLIA 03D1069776: Alliance Medical Clinic
Anthem, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1069776 belongs to Alliance Medical Clinic in Anthem, AZ.
Certificate for Provider-Performed Microscopy Procedures, effective June 13, 2025, expires June 12, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 13, 2025
- Certificate expiration
- June 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 2007
- Facility type
- Physician office
- 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
- 03D1069776
- Lab name
- Alliance Medical Clinic
- Address
- 42104 N Venture Ct D-118, Anthem, AZ 85086
- Phone
- (623) 505-6565
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- DR Jennifer Gentry, NMDCertificate of Waiver, Physician office03D2020419
- Daisy Mountain Fire DistrictCertificate of Waiver, Ambulance03D1031153
- Enclave at Anthem Senior Living, theCertificate of Waiver, Assisted living facility03D2131621
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Related
Questions
What is the CLIA number for Alliance Medical Clinic in Anthem?
03D1069776, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alliance Medical Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 03D1069776 expire?
The CMS file lists June 12, 2027 as the certificate expiration date; the certificate took effect June 13, 2025.