CLIA lab

CLIA 03D2121051: Four Peaks Surgery Center

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

CLIA number 03D2121051 belongs to Four Peaks Surgery Center in Sun City, AZ.

Certificate of Waiver, effective October 28, 2026, expires October 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
October 28, 2026
Certificate expiration
October 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 28, 2016
Facility type
Ambulatory surgery center
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
03D2121051
Lab name
Four Peaks Surgery Center
Address
9425 W Bell Rd, Sun City, AZ 85351
Phone
(623) 399-6880
Fax
(623) 322-1504

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 Four Peaks Surgery Center in Sun City?

03D2121051, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Four Peaks Surgery Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2121051 expire?

The CMS file lists October 27, 2028 as the certificate expiration date; the certificate took effect October 28, 2026.

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