CLIA lab

CLIA 03D1095854: Community Hospital Clinic

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

CLIA number 03D1095854 belongs to Community Hospital Clinic in Wickenburg, AZ.

Certificate for Provider-Performed Microscopy Procedures, effective August 14, 2025, expires August 13, 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
August 14, 2025
Certificate expiration
August 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 19, 2009
Facility type
Rural health clinic
Ownership (control type)
Other
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
03D1095854
Lab name
Community Hospital Clinic
Address
523 Rose Lane, Wickenburg, AZ 85390
Phone
(928) 668-1833
Fax
(928) 684-7251

Annual test volume the lab reported

Waived tests
4,325
Provider-performed microscopy tests
275
Total
4,600

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Community Hospital Clinic in Wickenburg?

03D1095854, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Community Hospital Clinic hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 03D1095854 expire?

The CMS file lists August 13, 2027 as the certificate expiration date; the certificate took effect August 14, 2025.

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