CLIA lab
CLIA 03D1094477: Fry's Pharmacy 669
Casa Grande, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1094477 belongs to Fry's Pharmacy 669 in Casa Grande, AZ.
Certificate of Waiver, effective January 21, 2025, expires January 20, 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
- January 21, 2025
- Certificate expiration
- January 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 21, 2009
- Facility type
- Pharmacy
- 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
- 03D1094477
- Lab name
- Fry's Pharmacy 669
- Address
- 2858 N Pinal Ave, Casa Grande, AZ 85222
- Phone
- (520) 426-4701
- Fax
- (520) 426-4704
Annual test volume the lab reported
- Waived tests
- 20
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Casa Grande, AZ
- Abbott Nutrition - Employee HealthCertificate of Waiver, Other03D0872502
- Agape Family Health and WellnessCertificate of Waiver, Physician office03D2281242
- Agape Hospice Pinal CountyCertificate of Waiver, Hospice03D2136002
- American Oncology Partners PA DBACertificate of Waiver, Physician office03D2286170
- American Oncology Partners, PACertificate of Accreditation, Physician office03D2238131
- Angel Care Health Services, IncCertificate of Waiver, Home health agency03D1057429
- Arizona Advanced Urology, PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D1064046
- Arizona Diagnostic Radiology Group LLCCertificate of Waiver, Community clinic03D2041720
- Avista Senior Living Casa GrandeCertificate of Waiver, Assisted living facility03D2203733
- Banner Children's - Banner Health Clinic LLCCertificate of Waiver, Physician office03D2032759
Related
Questions
What is the CLIA number for Fry's Pharmacy 669 in Casa Grande?
03D1094477, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fry's Pharmacy 669 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1094477 expire?
The CMS file lists January 20, 2027 as the certificate expiration date; the certificate took effect January 21, 2025.