CLIA lab

CLIA 03D1094479: Fry's Food and Drug #124

Tempe, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D1094479 belongs to Fry's Food and Drug #124 in Tempe, 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
03D1094479
Lab name
Fry's Food and Drug #124
Address
3255 S Rural Rd, Tempe, AZ 85282
Phone
(480) 829-1857
Fax
(480) 894-1570

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 Tempe, AZ

Related

Questions

What is the CLIA number for Fry's Food and Drug #124 in Tempe?

03D1094479, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fry's Food and Drug #124 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D1094479 expire?

The CMS file lists January 20, 2027 as the certificate expiration date; the certificate took effect January 21, 2025.

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