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CLIA 03D2070322: Good Samaritan Society-Legacy Home Health
Prescott, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2070322 belongs to Good Samaritan Society-Legacy Home Health in Prescott, AZ.
Certificate of Waiver, effective December 13, 2025, expires December 12, 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
- December 13, 2025
- Certificate expiration
- December 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 13, 2013
- Facility type
- Hospice
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Lab and contact
- CLIA number
- 03D2070322
- Lab name
- Good Samaritan Society-Legacy Home Health
- Address
- 1065 Ruth St, Prescott, AZ 86301
- Phone
- (928) 443-5400
- Fax
- (928) 443-5424
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Good Samaritan Society Prescott HospiceCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Good Samaritan Society-Legacy Home Health in Prescott?
03D2070322, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan Society-Legacy Home Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2070322 expire?
The CMS file lists December 12, 2027 as the certificate expiration date; the certificate took effect December 13, 2025.
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Map your lab's test names to LOINC codes
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