CLIA lab
CLIA 03D2135996: Summit Healthcare Outpatient Pavilion
Show Low, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2135996 belongs to Summit Healthcare Outpatient Pavilion in Show Low, AZ.
Certificate of Waiver, effective August 31, 2025, expires August 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
- August 31, 2025
- Certificate expiration
- August 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 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
- 03D2135996
- Lab name
- Summit Healthcare Outpatient Pavilion
- Additional name
- Pediatrics
- Address
- 4951 S White Mtn Blvd, Bldg A, 3rd Floor Rhc Pod, Show Low, AZ 85901
- Phone
- (928) 537-6700
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.
Other labs in Show Low, AZ
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- Akdhc - ShowlowCertificate for Provider-Performed Microscopy Procedures, Physician office03D2030366
- Banner HealthCertificate of Waiver, Physician office03D2325742
- Barnet Dulaney Perkins Eye Center, PLLCCertificate of Waiver, Physician office03D2040828
- Barnet Dulaney Surgery Center - Show LowCertificate of Waiver, Ambulatory surgery center03D0897105
- Changepoint Integrated HealthcareCertificate of Waiver, Community clinic03D1041055
- Community Medical Services - Show LowCertificate of Waiver, Other03D2164709
- Grand Canyon DermatologyCertificate of Compliance, Physician office03D2326923
- Hamblin Dermatology PLLCCertificate of Compliance, Physician office03D2102434
- Haven of Show LowCertificate of Waiver, Skilled nursing or nursing facility03D0533596
Related
Questions
What is the CLIA number for Summit Healthcare Outpatient Pavilion in Show Low?
03D2135996, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Summit Healthcare Outpatient Pavilion hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2135996 expire?
The CMS file lists August 30, 2027 as the certificate expiration date; the certificate took effect August 31, 2025.