CLIA lab
CLIA 03D2129104: Northern Arizona Healthcare Medical Group-
Cottonwood, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2129104 belongs to Northern Arizona Healthcare Medical Group- in Cottonwood, AZ.
Certificate of Waiver, effective April 12, 2025, expires April 11, 2027.
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, 2025
- Certificate expiration
- April 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 12, 2017
- Facility type
- Physician office
- 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
- 03D2129104
- Lab name
- Northern Arizona Healthcare Medical Group-
- Additional name
- Cardiology Cottonwood
- Address
- 269 S Candy Lane Ste 2C, Cottonwood, AZ 86326
- Phone
- (928) 634-1331
- Fax
- (928) 634-3130
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Amber Bahm Family PracticeCertificate of Waiver, Physician office03D2345836
- Angel's Touch, IncCertificate of Waiver, Home health agency03D0998971
- Arizona CVS Stores, LLC DBA Cvs/PharmacyCertificate of Waiver, Pharmacy03D2285505
- Beginnings Birth & Wellness CenterCertificate of Waiver, Other03D2167489
- Bella Vita HealthcareCertificate of Waiver, Other practitioner03D2111520
- CSL Cottonwood, LLCCertificate of Waiver, Assisted living facility03D2195412
- Christian Care CottonwoodCertificate of Waiver, Assisted living facility03D2209736
- Cory Krueger MD PLCCertificate of Waiver, Physician office03D1095630
- Cottonwood CbocCertificate of Accreditation, Community clinic03D1017039
Related
Questions
What is the CLIA number for Northern Arizona Healthcare Medical Group- in Cottonwood?
03D2129104, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northern Arizona Healthcare Medical Group- hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2129104 expire?
The CMS file lists April 11, 2027 as the certificate expiration date; the certificate took effect April 12, 2025.