CLIA lab

CLIA 03D2105177: Anasazi Foundation

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

CLIA number 03D2105177 belongs to Anasazi Foundation in Mesa, AZ.

Certificate of Waiver, effective November 19, 2025, expires November 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
November 19, 2025
Certificate expiration
November 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 19, 2015
Facility type
Other
Ownership (control type)
Private
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
03D2105177
Lab name
Anasazi Foundation
Address
1424 S Stapley Dr, Mesa, AZ 85204
Phone
(408) 892-7403
Fax
(480) 892-6701

Annual test volume the lab reported

Waived tests
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 Anasazi Foundation in Mesa?

03D2105177, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Anasazi Foundation hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2105177 expire?

The CMS file lists November 18, 2027 as the certificate expiration date; the certificate took effect November 19, 2025.

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