CLIA lab
CLIA 03D2048267: Tsehootsooi Medical Center
Fort Defiance, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2048267 belongs to Tsehootsooi Medical Center in Fort Defiance, AZ.
Certificate of Waiver, effective October 12, 2026, expires October 11, 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
- October 12, 2026
- Certificate expiration
- October 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 12, 2012
- Facility type
- Pharmacy
- Ownership (control type)
- Government, other
- 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
- 03D2048267
- Lab name
- Tsehootsooi Medical Center
- Address
- PO Box 649, Hwy 12 Nr 110, Fort Defiance, AZ 86504
- Phone
- (928) 729-8325
- Fax
- (928) 729-8348
Annual test volume the lab reported
- Waived tests
- 1,696
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fort Defiance, AZ
Related
Questions
What is the CLIA number for Tsehootsooi Medical Center in Fort Defiance?
03D2048267, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tsehootsooi Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2048267 expire?
The CMS file lists October 11, 2028 as the certificate expiration date; the certificate took effect October 12, 2026.