CLIA lab
CLIA 03D2101639: American Family Medicine, LLC
Tolleson, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2101639 belongs to American Family Medicine, LLC in Tolleson, AZ.
Certificate of Waiver, effective September 4, 2025, expires September 3, 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
- September 4, 2025
- Certificate expiration
- September 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 4, 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
- 03D2101639
- Lab name
- American Family Medicine, LLC
- Address
- 9169 W Van Buren St, Tolleson, AZ 85353
- Phone
- (602) 283-5732
- Fax
- (602) 314-4579
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- JBS TollesonCertificate of Waiver, Industrial03D2206348
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Related
Questions
What is the CLIA number for American Family Medicine, LLC in Tolleson?
03D2101639, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does American Family Medicine, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2101639 expire?
The CMS file lists September 3, 2027 as the certificate expiration date; the certificate took effect September 4, 2025.