CLIA lab
CLIA 03D2020419: DR Jennifer Gentry, NMD
Anthem, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2020419 belongs to DR Jennifer Gentry, NMD in Anthem, AZ.
Certificate of Waiver, effective February 17, 2025, expires February 16, 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
- February 17, 2025
- Certificate expiration
- February 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 17, 2011
- 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
- 03D2020419
- Lab name
- DR Jennifer Gentry, NMD
- Address
- 42104 N Venture Dr, Ste C122, Anthem, AZ 85086
- Phone
- (623) 251-5518
- Fax
- (623) 249-4748
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for DR Jennifer Gentry, NMD in Anthem?
03D2020419, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DR Jennifer Gentry, NMD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2020419 expire?
The CMS file lists February 16, 2027 as the certificate expiration date; the certificate took effect February 17, 2025.