CLIA lab

CLIA 03D2042504: Parker Indian Health Center - Ancillary Dept

Parker, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D2042504 belongs to Parker Indian Health Center - Ancillary Dept in Parker, AZ.

Certificate of Waiver, effective June 13, 2026, expires June 12, 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
June 13, 2026
Certificate expiration
June 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 13, 2012
Facility type
Federally qualified health center
Ownership (control type)
Government, federal
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
03D2042504
Lab name
Parker Indian Health Center - Ancillary Dept
Address
12033 Agency Rd, Parker, AZ 85344
Phone
(928) 669-3224
Fax
(928) 669-3223

Annual test volume the lab reported

Waived tests
4,031

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Parker, AZ

Related

Questions

What is the CLIA number for Parker Indian Health Center - Ancillary Dept in Parker?

03D2042504, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Parker Indian Health Center - Ancillary Dept hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2042504 expire?

The CMS file lists June 12, 2028 as the certificate expiration date; the certificate took effect June 13, 2026.

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