CLIA lab
CLIA 03D2111630: Fry's Pharmacy #667
Litchfield Park, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2111630 belongs to Fry's Pharmacy #667 in Litchfield Park, AZ.
Certificate of Waiver, effective April 12, 2026, expires April 11, 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
- April 12, 2026
- Certificate expiration
- April 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 12, 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
- 03D2111630
- Lab name
- Fry's Pharmacy #667
- Address
- 13830 W Camelback Rd, Litchfield Park, AZ 85340
- Phone
- (623) 907-4932
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arizona Digestive Health, PCCertificate of Accreditation, Physician office03D2135907
- Arizona Integrated MedicalCertificate of Waiver, Ambulatory surgery center03D2260159
- Defiant Health & WellnessCertificate of Waiver, Physician office03D2330253
- Desert Valley PediatricsCertificate of Waiver, Physician office03D2276835
- Dignity Health ST Joseph's Hospital & MedicalCertificate of Accreditation, Other03D2182029
- Fresh Start Bone and Joint InstituteCertificate of Waiver, Ambulatory surgery center03D2323269
- German Dobson CVS, LLC DBA Cvs/PharmacyCertificate of Waiver, Pharmacy03D2285499
- Hope Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center03D2323267
- Litchfield Countryside Home Care, LLCCertificate of Waiver, Other03D1078946
Related
Questions
What is the CLIA number for Fry's Pharmacy #667 in Litchfield Park?
03D2111630, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fry's Pharmacy #667 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2111630 expire?
The CMS file lists April 11, 2028 as the certificate expiration date; the certificate took effect April 12, 2026.