CLIA lab
CLIA 03D2011632: Walgreens #05208
Lake Havasu, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2011632 belongs to Walgreens #05208 in Lake Havasu, AZ.
Certificate of Waiver, effective March 19, 2025, expires March 18, 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
- March 19, 2025
- Certificate expiration
- March 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 19, 2010
- Facility type
- Pharmacy
- 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
- 03D2011632
- Lab name
- Walgreens #05208
- Address
- 25 Lake Havasu Ave S, Lake Havasu, AZ 86403
- Phone
- (928) 453-2808
- Fax
- (928) 453-2619
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Havasu, AZ
- Arizona Arthritis and RheumatologyCertificate of Waiver, Physician office03D2346784
- Community Medical Services - Lake HavasuCertificate of Waiver, Other03D2162151
- Edward J Quinn MDCertificate of Waiver, Physician office03D1049776
- Havasu Rainbow Pediatrics PCCertificate of Waiver, Physician office03D0923274
- Havasu Regional Medical Center Wound Care CenterCertificate of Waiver, Ancillary test site03D2026165
- Hospice of Havasu IncCertificate of Waiver, Hospice03D0924212
- Lake View Terrace Memory CareCertificate of Waiver, Assisted living facility03D1094089
- Panacea Brain and Spine LLCCertificate of Waiver, Physician office03D2048793
- Smith's Pharmacy #188Certificate of Waiver, Pharmacy03D2010004
- Veritas Healthcare PLLCCertificate of Waiver, Physician office03D2338953
Related
Questions
What is the CLIA number for Walgreens #05208 in Lake Havasu?
03D2011632, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #05208 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2011632 expire?
The CMS file lists March 18, 2027 as the certificate expiration date; the certificate took effect March 19, 2025.