CLIA lab
CLIA 03D2013857: Walgreens #05090
Show Low, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2013857 belongs to Walgreens #05090 in Show Low, AZ.
Certificate of Waiver, effective April 2, 2025, expires April 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
- April 2, 2025
- Certificate expiration
- April 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 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
- 03D2013857
- Lab name
- Walgreens #05090
- Address
- 5160 S White Mountain Rd, Show Low, AZ 85901
- Phone
- (928) 532-5502
- Fax
- (928) 532-5499
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 Show Low, AZ
- Accord HospiceCertificate of Waiver, Hospice03D2271946
- Akdhc - ShowlowCertificate for Provider-Performed Microscopy Procedures, Physician office03D2030366
- Banner HealthCertificate of Waiver, Physician office03D2325742
- Barnet Dulaney Perkins Eye Center, PLLCCertificate of Waiver, Physician office03D2040828
- Barnet Dulaney Surgery Center - Show LowCertificate of Waiver, Ambulatory surgery center03D0897105
- Changepoint Integrated HealthcareCertificate of Waiver, Community clinic03D1041055
- Community Medical Services - Show LowCertificate of Waiver, Other03D2164709
- Grand Canyon DermatologyCertificate of Compliance, Physician office03D2326923
- Hamblin Dermatology PLLCCertificate of Compliance, Physician office03D2102434
- Haven of Show LowCertificate of Waiver, Skilled nursing or nursing facility03D0533596
Related
Questions
What is the CLIA number for Walgreens #05090 in Show Low?
03D2013857, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #05090 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2013857 expire?
The CMS file lists April 1, 2027 as the certificate expiration date; the certificate took effect April 2, 2025.