CLIA lab
CLIA 03D2137152: Queen Creek Surgical Center LLC
San Tan Valley, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2137152 belongs to Queen Creek Surgical Center LLC in San Tan Valley, AZ.
Certificate of Waiver, effective September 21, 2025, expires September 20, 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
- September 21, 2025
- Certificate expiration
- September 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 2017
- 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
- 03D2137152
- Lab name
- Queen Creek Surgical Center LLC
- Additional name
- DBA South Valley Surgical Center
- Address
- 36453 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140
- Phone
- (480) 636-1225
- Fax
- (480) 636-8890
Annual test volume the lab reported
- Waived tests
- 1,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Tan Valley, AZ
- Arizona Arthritis & Rheumatology AssociatesCertificate of Waiver, Physician office03D2258375
- Arizona State Urological InstituteCertificate of Waiver, Physician office03D2107583
- Banner Ironwood Medical Center PocCertificate of Accreditation, Hospital03D2014168
- Banner Occupational Health Arizona LLCCertificate of Waiver, Physician office03D2347853
- Banner Primary Care Physicians Arizona LLCCertificate of Waiver, Physician office03D2013912
- Banner Urgent Care Services LLCCertificate of Waiver, Other03D2043340
- Banner Urgent Care Services LLCCertificate of Waiver, Other03D2097346
- Burke Medical, IncCertificate of Waiver, Physician office03D2314709
- Cornerstone Family MedicineCertificate of Waiver, Physician office03D2119682
- Dignity Health Arizona General Hospital-San TanCertificate of Accreditation, Other03D2161825
Related
Questions
What is the CLIA number for Queen Creek Surgical Center LLC in San Tan Valley?
03D2137152, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Queen Creek Surgical Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2137152 expire?
The CMS file lists September 20, 2027 as the certificate expiration date; the certificate took effect September 21, 2025.