CLIA lab
CLIA 03D2091884: Advanced Plastic Surgery Center
Prescott, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2091884 belongs to Advanced Plastic Surgery Center in Prescott, AZ.
Certificate of Waiver, effective February 20, 2025, expires February 19, 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
- February 20, 2025
- Certificate expiration
- February 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 20, 2015
- 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
- 03D2091884
- Lab name
- Advanced Plastic Surgery Center
- Address
- 1615 Petroglyph Pointe, Prescott, AZ 86301
- Phone
- (928) 777-0200
- Fax
- (928) 443-1117
Annual test volume the lab reported
- Waived tests
- 60
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 Advanced Plastic Surgery Center in Prescott?
03D2091884, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Plastic Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2091884 expire?
The CMS file lists February 19, 2027 as the certificate expiration date; the certificate took effect February 20, 2025.