CLIA lab
CLIA 03D1071846: Good Samaritan Society,the
Prescott, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1071846 belongs to Good Samaritan Society,the in Prescott, AZ.
Certificate of Waiver, effective August 2, 2025, expires August 1, 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
- August 2, 2025
- Certificate expiration
- August 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 2, 2007
- Facility type
- Hospice
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D1071846
- Lab name
- Good Samaritan Society,the
- Additional name
- Prescott Hospice
- Address
- 1065 Ruth St Ste B, Prescott, AZ 86301
- Phone
- (928) 443-5400
- Fax
- (928) 443-5424
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Good Samaritan Society Prescott HospiceCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Good Samaritan Society,the in Prescott?
03D1071846, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan Society,the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1071846 expire?
The CMS file lists August 1, 2027 as the certificate expiration date; the certificate took effect August 2, 2025.