CLIA lab
CLIA 03D2106068: Four Peaks Healthcare Associates, PLLC
Flagstaff, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2106068 belongs to Four Peaks Healthcare Associates, PLLC in Flagstaff, AZ.
Certificate of Waiver, effective December 9, 2025, expires December 8, 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
- December 9, 2025
- Certificate expiration
- December 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 9, 2015
- Facility type
- Other practitioner
- 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
- 03D2106068
- Lab name
- Four Peaks Healthcare Associates, PLLC
- Address
- 1515 E Cedar Ave, Suite C1, Flagstaff, AZ 86004
- Phone
- (928) 773-9714
- Fax
- (928) 556-0065
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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- Barnet Dulaney Perkins Eye Center, PLLCCertificate of Waiver, Physician office03D2040646
- Beyond the BasicsCertificate of Waiver, Other03D2334100
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Related
Questions
What is the CLIA number for Four Peaks Healthcare Associates, PLLC in Flagstaff?
03D2106068, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Four Peaks Healthcare Associates, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2106068 expire?
The CMS file lists December 8, 2027 as the certificate expiration date; the certificate took effect December 9, 2025.