CLIA lab

CLIA 03D2142892: Gold Canyon Internal Medicine

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

CLIA number 03D2142892 belongs to Gold Canyon Internal Medicine in Gold Canyon, AZ.

Certificate of Waiver, effective January 22, 2026, expires January 21, 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
January 22, 2026
Certificate expiration
January 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 22, 2018
Facility type
Physician office
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
03D2142892
Lab name
Gold Canyon Internal Medicine
Address
6724 S Kings Ranch Rd Ste 102, Gold Canyon, AZ 85118
Phone
(480) 626-4999
Fax
(480) 304-3239

Annual test volume the lab reported

Waived tests
500

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 Gold Canyon Internal Medicine in Gold Canyon?

03D2142892, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gold Canyon Internal Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2142892 expire?

The CMS file lists January 21, 2028 as the certificate expiration date; the certificate took effect January 22, 2026.

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