CLIA lab
CLIA 03D2111176: Albertsons Pharmacy #3204
Lake Havasu City, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2111176 belongs to Albertsons Pharmacy #3204 in Lake Havasu City, AZ.
Certificate of Waiver, effective March 31, 2026, expires March 30, 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 31, 2026
- Certificate expiration
- March 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 31, 2016
- Facility type
- Pharmacy
- 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
- 03D2111176
- Lab name
- Albertsons Pharmacy #3204
- Address
- 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403
- Phone
- (928) 854-8281
- Fax
- (928) 453-3969
Annual test volume the lab reported
- Waived tests
- 2,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arizona In-Home Partner-I, LLCCertificate of Waiver, Home health agency03D0947853
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- Claremont Assisted LivingCertificate of Waiver, Skilled nursing or nursing facility03D1069136
- Concierge Health, LLCCertificate of Waiver, Other practitioner03D2274993
- Cornerstone Family HealthcareCertificate of Waiver, Physician office03D0862809
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Related
Questions
What is the CLIA number for Albertsons Pharmacy #3204 in Lake Havasu City?
03D2111176, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Albertsons Pharmacy #3204 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2111176 expire?
The CMS file lists March 30, 2028 as the certificate expiration date; the certificate took effect March 31, 2026.