CLIA lab
CLIA 03D2057249: Good Samaritan Society- Willow Wind
Prescott, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2057249 belongs to Good Samaritan Society- Willow Wind in Prescott, AZ.
Certificate of Waiver, effective April 11, 2025, expires April 10, 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
- April 11, 2025
- Certificate expiration
- April 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 11, 2013
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- 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
- 03D2057249
- Lab name
- Good Samaritan Society- Willow Wind
- Address
- 3191 Aster Dr, Prescott, AZ 86305
- Phone
- (928) 443-9999
- Fax
- (928) 443-5009
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 Good Samaritan Society- Willow Wind in Prescott?
03D2057249, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan Society- Willow Wind hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2057249 expire?
The CMS file lists April 10, 2027 as the certificate expiration date; the certificate took effect April 11, 2025.