CLIA lab

CLIA 03D2110608: Mary Pasternacki Family Healthcare, PLLC

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

CLIA number 03D2110608 belongs to Mary Pasternacki Family Healthcare, PLLC in Flagstaff, AZ.

Certificate of Waiver, effective March 21, 2026, expires March 20, 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
March 21, 2026
Certificate expiration
March 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 21, 2016
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
03D2110608
Lab name
Mary Pasternacki Family Healthcare, PLLC
Address
1016 W University Ave, Ste 206, Flagstaff, AZ 86001
Phone
(928) 266-1530
Fax
(928) 683-4674

Annual test volume the lab reported

Waived tests
100

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 Mary Pasternacki Family Healthcare, PLLC in Flagstaff?

03D2110608, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mary Pasternacki Family Healthcare, PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2110608 expire?

The CMS file lists March 20, 2028 as the certificate expiration date; the certificate took effect March 21, 2026.

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