CLIA lab

CLIA 03D2079104: Dignity Health Medical Group Maricopa

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

CLIA number 03D2079104 belongs to Dignity Health Medical Group Maricopa in Maricopa, AZ.

Certificate for Provider-Performed Microscopy Procedures, effective August 20, 2026, expires August 19, 2028.

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 for Provider-Performed Microscopy Procedures
Certificate effective
August 20, 2026
Certificate expiration
August 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 10, 2014
Facility type
Community clinic
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
03D2079104
Lab name
Dignity Health Medical Group Maricopa
Address
21300 N John Wayne Pkwy, Ste 115, Maricopa, AZ 85139
Phone
(520) 426-3424
Fax
(520) 568-9560

Annual test volume the lab reported

Waived tests
1,200
Provider-performed microscopy tests
50
Total
1,250

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 Dignity Health Medical Group Maricopa in Maricopa?

03D2079104, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dignity Health Medical Group Maricopa hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 03D2079104 expire?

The CMS file lists August 19, 2028 as the certificate expiration date; the certificate took effect August 20, 2026.

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