CLIA lab
CLIA 03D2131536: Pronghorn Psychiatry
Prescott Valley, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2131536 belongs to Pronghorn Psychiatry in Prescott Valley, AZ.
Certificate of Waiver, effective May 31, 2025, expires May 30, 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
- May 31, 2025
- Certificate expiration
- May 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 31, 2017
- Facility type
- Other
- 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
- 03D2131536
- Lab name
- Pronghorn Psychiatry
- Address
- 5940 E Copper Hill Drive Ste B, Prescott Valley, AZ 86314
- Phone
- (928) 583-7799
- Fax
- (928) 583-7891
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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Related
Questions
What is the CLIA number for Pronghorn Psychiatry in Prescott Valley?
03D2131536, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pronghorn Psychiatry hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2131536 expire?
The CMS file lists May 30, 2027 as the certificate expiration date; the certificate took effect May 31, 2025.