CLIA lab
CLIA 03D1103484: Flagstaff Surgical Associates
Flagstaff, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1103484 belongs to Flagstaff Surgical Associates in Flagstaff, AZ.
Certificate of Waiver, effective December 1, 2024, expires November 30, 2026.
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
- December 1, 2024
- Certificate expiration
- November 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 11, 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
- 03D1103484
- Lab name
- Flagstaff Surgical Associates
- Address
- 77 W Forest Ave Suite 201, Flagstaff, AZ 86001
- Phone
- (928) 773-2222
- Fax
- (928) 773-2287
Annual test volume the lab reported
- Waived tests
- 4,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Flagstaff, AZ
- Akdhc - FlagstaffCertificate of Waiver, Physician office03D1106728
- American Oncology Partners, PACertificate of Registration, Physician office03D2246073
- Angels Care Home Health of Arizona No 5, LLCCertificate of Waiver, Home health agency03D2177450
- Arizona Arthritis & Rheumatology Associates PCCertificate of Waiver, Physician office03D2122941
- Arizona State Veterans Home FlagstaffCertificate of Waiver, Skilled nursing or nursing facility03D2283848
- Aurora Surgical CenterCertificate of Waiver, Ambulatory surgery center03D2215123
- Az Integrated MedicalCertificate of Waiver, Physician office03D2339533
- Barnet Dulaney Perkins Eye Center, PLLCCertificate of Waiver, Physician office03D2040646
- Beyond the BasicsCertificate of Waiver, Other03D2334100
- Bio-Medical Applications of Arizona, LLCCertificate of Waiver, End stage renal disease dialysis facility03D0705166
Related
Questions
What is the CLIA number for Flagstaff Surgical Associates in Flagstaff?
03D1103484, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Flagstaff Surgical Associates hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1103484 expire?
The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.