CLIA lab
CLIA 03D2166612: Optum Primary Care - San Tan
San Tan Valley, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2166612 belongs to Optum Primary Care - San Tan in San Tan Valley, AZ.
Certificate of Waiver, effective May 21, 2025, expires May 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
- May 21, 2025
- Certificate expiration
- May 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 21, 2019
- 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
- 03D2166612
- Lab name
- Optum Primary Care - San Tan
- Address
- 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140
- Phone
- (480) 351-7277
- Fax
- (480) 219-5457
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.
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 Optum Primary Care - San Tan in San Tan Valley?
03D2166612, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Optum Primary Care - San Tan hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2166612 expire?
The CMS file lists May 20, 2027 as the certificate expiration date; the certificate took effect May 21, 2025.