CLIA lab
CLIA 03D1101676: Lakeside Internal Medicine, PLLC
Sun Lakes, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1101676 belongs to Lakeside Internal Medicine, PLLC in Sun Lakes, AZ.
Certificate of Waiver, effective July 2, 2025, expires July 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
- July 2, 2025
- Certificate expiration
- July 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 2, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 03D1101676
- Lab name
- Lakeside Internal Medicine, PLLC
- Address
- 10450 E Riggs Rd, Ste 110, Sun Lakes, AZ 85248
- Phone
- (480) 895-7600
- Fax
- (480) 895-7601
Annual test volume the lab reported
- Waived tests
- 400
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 Lakeside Internal Medicine, PLLC in Sun Lakes?
03D1101676, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeside Internal Medicine, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1101676 expire?
The CMS file lists July 1, 2027 as the certificate expiration date; the certificate took effect July 2, 2025.