CLIA lab
CLIA 03D1103845: Desert Grove Family Medical
Queen Creek, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1103845 belongs to Desert Grove Family Medical in Queen Creek, AZ.
Certificate of Waiver, effective July 23, 2025, expires July 22, 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 23, 2025
- Certificate expiration
- July 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 19, 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
- 03D1103845
- Lab name
- Desert Grove Family Medical
- Address
- 20926 E Heritage Loop Rd, Ste 106, Queen Creek, AZ 85142
- Phone
- (480) 834-7546
- Fax
- (480) 833-8313
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Banner Ironwood Medical CenterCertificate of Accreditation, Hospital03D2008842
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- Banner Physician Specialists Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2106649
- Banner Physician Specialists Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2123901
- Banner Physician Super Specialists Arizona LLCCertificate of Waiver, Physician office03D2217366
Related
Questions
What is the CLIA number for Desert Grove Family Medical in Queen Creek?
03D1103845, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Desert Grove Family Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1103845 expire?
The CMS file lists July 22, 2027 as the certificate expiration date; the certificate took effect July 23, 2025.