CLIA lab
CLIA 03D1094491: Fry's Food and Drug #61
Surprise, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1094491 belongs to Fry's Food and Drug #61 in Surprise, 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
- 03D1094491
- Lab name
- Fry's Food and Drug #61
- Address
- 15510 W Bell Rd, Surprise, AZ 85374
- Phone
- (623) 546-2565
- Fax
- (623) 544-2992
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 Surprise, AZ
- A Clark Ruttinger DO PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D0983493
- Abrazo Surprise HospitalCertificate of Accreditation, Hospital03D2181109
- Active Life Physical Medicine & Pain CenterCertificate of Waiver, Physician office03D2128471
- Adelante Healthcare SurpriseCertificate of Waiver, Federally qualified health center03D2333161
- Adelante Healthcare Surprise Care TodayCertificate of Waiver, Federally qualified health center03D2333158
- Adriel Care HomeCertificate of Waiver, Other03D1066985
- Advanced Ambulatory Surgery Center One LLCCertificate of Waiver, Ambulatory surgery center03D2184403
- Advanced Pain ManagementCertificate of Waiver, Physician office03D2078470
- Advanced Spine and Pain, LLCCertificate of Waiver, Physician office03D2254581
- All DermatologyCertificate of Compliance, Physician office03D1002763
Related
Questions
What is the CLIA number for Fry's Food and Drug #61 in Surprise?
03D1094491, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fry's Food and Drug #61 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1094491 expire?
The CMS file lists January 20, 2027 as the certificate expiration date; the certificate took effect January 21, 2025.