CLIA lab
CLIA 03D2107583: Arizona State Urological Institute
San Tan Valley, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2107583 belongs to Arizona State Urological Institute in San Tan Valley, AZ.
Certificate of Waiver, effective July 28, 2026, expires July 27, 2028.
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 28, 2026
- Certificate expiration
- July 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 19, 2016
- 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
- 03D2107583
- Lab name
- Arizona State Urological Institute
- Address
- 36493 N Gantzel Rd, San Tan Valley, AZ 85140
- Phone
- (480) 394-0200
- Fax
- (480) 394-0202
Annual test volume the lab reported
- Waived tests
- 520
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Tan Valley, AZ
- Arizona Arthritis & Rheumatology AssociatesCertificate of Waiver, Physician office03D2258375
- Banner Ironwood Medical Center PocCertificate of Accreditation, Hospital03D2014168
- Banner Occupational Health Arizona LLCCertificate of Waiver, Physician office03D2347853
- Banner Primary Care Physicians Arizona LLCCertificate of Waiver, Physician office03D2013912
- Banner Urgent Care Services LLCCertificate of Waiver, Other03D2043340
- Banner Urgent Care Services LLCCertificate of Waiver, Other03D2097346
- Burke Medical, IncCertificate of Waiver, Physician office03D2314709
- Cornerstone Family MedicineCertificate of Waiver, Physician office03D2119682
- Dignity Health Arizona General Hospital-San TanCertificate of Accreditation, Other03D2161825
- Fry's Food and Drug #0682Certificate of Waiver, Other03D2095151
Related
Questions
What is the CLIA number for Arizona State Urological Institute in San Tan Valley?
03D2107583, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arizona State Urological Institute hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2107583 expire?
The CMS file lists July 27, 2028 as the certificate expiration date; the certificate took effect July 28, 2026.