CLIA lab
CLIA 03D2064982: Hopi Health Care Center Pharmacy
Polacca, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2064982 belongs to Hopi Health Care Center Pharmacy in Polacca, AZ.
Certificate of Waiver, effective August 30, 2025, expires August 29, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 30, 2025
- Certificate expiration
- August 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 30, 2013
- Facility type
- Pharmacy
- Ownership (control type)
- Government, federal
- 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
- 03D2064982
- Lab name
- Hopi Health Care Center Pharmacy
- Address
- Highway 264 Mile 388, Polacca, AZ 86042
- Phone
- (928) 737-6190
- Fax
- (928) 737-6332
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Polacca, AZ
Related
Questions
What is the CLIA number for Hopi Health Care Center Pharmacy in Polacca?
03D2064982, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hopi Health Care Center Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2064982 expire?
The CMS file lists August 29, 2027 as the certificate expiration date; the certificate took effect August 30, 2025.