CLIA lab
CLIA 03D2028389: Fry's Pharmacy #104
Flagstaff, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2028389 belongs to Fry's Pharmacy #104 in Flagstaff, AZ.
Certificate of Waiver, effective August 16, 2025, expires August 15, 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
- August 16, 2025
- Certificate expiration
- August 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 16, 2011
- Facility type
- Other
- 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
- 03D2028389
- Lab name
- Fry's Pharmacy #104
- Address
- 201 N Switzer Canyon Dr, Flagstaff, AZ 86001
- Phone
- (928) 774-3389
- Fax
- (928) 776-8554
Annual test volume the lab reported
- Waived tests
- 300
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 Fry's Pharmacy #104 in Flagstaff?
03D2028389, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fry's Pharmacy #104 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2028389 expire?
The CMS file lists August 15, 2027 as the certificate expiration date; the certificate took effect August 16, 2025.