CLIA lab
CLIA 03D2096245: Fry's Food and Drug #674
Surprise, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2096245 belongs to Fry's Food and Drug #674 in Surprise, AZ.
Certificate of Waiver, effective May 19, 2025, expires May 18, 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
- May 19, 2025
- Certificate expiration
- May 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 19, 2015
- Facility type
- Pharmacy
- 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
- 03D2096245
- Lab name
- Fry's Food and Drug #674
- Address
- 13982 W Waddell Rd, Surprise, AZ 85379
- Phone
- (623) 537-9663
Annual test volume the lab reported
- Waived tests
- 300
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 Fry's Food and Drug #674 in Surprise?
03D2096245, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fry's Food and Drug #674 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2096245 expire?
The CMS file lists May 18, 2027 as the certificate expiration date; the certificate took effect May 19, 2025.