CLIA lab

CLIA 03D2048793: Panacea Brain and Spine LLC

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

CLIA number 03D2048793 belongs to Panacea Brain and Spine LLC in Lake Havasu, AZ.

Certificate of Waiver, effective October 23, 2024, expiration date October 22, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 23, 2024
Certificate expiration
October 22, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 23, 2012
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
03D2048793
Lab name
Panacea Brain and Spine LLC
Address
72 Lake Havasu Ave S Ste 102, Lake Havasu, AZ 86403
Phone
(928) 453-2211
Fax
(928) 453-2213

Annual test volume the lab reported

Waived tests
250

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 Panacea Brain and Spine LLC in Lake Havasu?

03D2048793, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Panacea Brain and Spine LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2048793 expire?

The CMS file lists October 22, 2026 as the certificate expiration date; the certificate took effect October 23, 2024.

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