CLIA lab
CLIA 03D2065934: FMC Specialty Clinic
Flagstaff, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2065934 belongs to FMC Specialty Clinic in Flagstaff, AZ.
Certificate of Waiver, effective September 17, 2025, expires September 16, 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
- September 17, 2025
- Certificate expiration
- September 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 2013
- 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
- 03D2065934
- Lab name
- FMC Specialty Clinic
- Address
- 1215 N Beaver St Ste 203, Flagstaff, AZ 86001
- Phone
- (928) 773-2200
- Fax
- (928) 773-2300
Annual test volume the lab reported
- Waived tests
- 15
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 FMC Specialty Clinic in Flagstaff?
03D2065934, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does FMC Specialty Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2065934 expire?
The CMS file lists September 16, 2027 as the certificate expiration date; the certificate took effect September 17, 2025.