CLIA lab
CLIA 03D2119924: Payson Outpatient Service Center - 2
Payson, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2119924 belongs to Payson Outpatient Service Center - 2 in Payson, AZ.
Certificate of Waiver, effective October 6, 2026, expires October 5, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 6, 2026
- Certificate expiration
- October 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 2016
- Facility type
- Other
- Ownership (control type)
- Private
- 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
- 03D2119924
- Lab name
- Payson Outpatient Service Center - 2
- Address
- 803 W Main Street, Payson, AZ 85541
- Phone
- (480) 831-7566
- Fax
- (480) 831-7563
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Payson, AZ
- Abc's PediatricsCertificate of Waiver, Community clinic03D2188710
- Alliance DermatologyCertificate of Compliance, Physician office03D2017722
- Alpine Country Urologic AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office03D1044332
- Arizona Institute of DermatologyCertificate of Compliance, Physician office03D2279695
- Avista Senior Living PaysonCertificate of Waiver, Assisted living facility03D2339726
- Banner HealthCertificate of Waiver, Other practitioner03D1049769
- Banner Health - CardiopulmonaryCertificate of Waiver, Ancillary test site03D2271876
- Banner Health ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office03D2277824
- Banner Home Care - ArizonaCertificate of Waiver, Home health agency03D2261830
- Banner Payson Blood Gas LabCertificate of Accreditation, Hospital03D2116229
Related
Questions
What is the CLIA number for Payson Outpatient Service Center - 2 in Payson?
03D2119924, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Payson Outpatient Service Center - 2 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2119924 expire?
The CMS file lists October 5, 2028 as the certificate expiration date; the certificate took effect October 6, 2026.