CLIA lab
CLIA 03D2012303: Billy Creek Clinic
Lakeside, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2012303 belongs to Billy Creek Clinic in Lakeside, AZ.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 2010
- 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
- 03D2012303
- Lab name
- Billy Creek Clinic
- Address
- 43 W White Mtn Blvd, Lakeside, AZ 85929
- Phone
- (928) 367-4040
- Fax
- (928) 367-4042
Annual test volume the lab reported
- Waived tests
- 5,460
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lakeside, AZ
- Banner HealthCertificate of Waiver, Other03D2146756
- Banner HealthCertificate of Waiver, Physician office03D2325741
- Barnet Dulaney Perkins Eye CenterCertificate of Waiver, Physician office03D2230043
- Changepoint Psychiatric HospitalCertificate of Waiver, Other03D0881034
- Comprehensive Medical CareCertificate of Waiver, Physician office03D1025168
- Haven of LakesideCertificate of Waiver, Skilled nursing or nursing facility03D2189424
- Hospice Compassus - White MountainCertificate of Waiver, Hospice03D1035510
- Premier Mountain ImagingCertificate of Waiver, Other03D2303061
- Safeway Pharmacy #2069Certificate of Waiver, Pharmacy03D2073056
- Solterra at White Mountains Two, LLCCertificate of Waiver, Assisted living facility03D2198889
Related
Questions
What is the CLIA number for Billy Creek Clinic in Lakeside?
03D2012303, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Billy Creek Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2012303 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.