CLIA lab
CLIA 03D2099043: Privia Medical Group Arizona, LLC
Payson, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2099043 belongs to Privia Medical Group Arizona, LLC in Payson, AZ.
Certificate of Waiver, effective July 20, 2025, expires July 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
- July 20, 2025
- Certificate expiration
- July 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 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
- 03D2099043
- Lab name
- Privia Medical Group Arizona, LLC
- Address
- 111 W Cedar Lane, Ste A, Payson, AZ 85541
- Phone
- (602) 633-3848
- Fax
- (602) 633-3841
Annual test volume the lab reported
- Waived tests
- 2,000
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 Privia Medical Group Arizona, LLC in Payson?
03D2099043, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Privia Medical Group Arizona, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2099043 expire?
The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.