CLIA lab
CLIA 03D2189424: Haven of Lakeside
Lakeside, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2189424 belongs to Haven of Lakeside in Lakeside, AZ.
Certificate of Waiver, effective July 30, 2026, expires July 29, 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
- July 30, 2026
- Certificate expiration
- July 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 30, 2020
- Facility type
- Skilled nursing or nursing facility
- 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
- 03D2189424
- Lab name
- Haven of Lakeside
- Address
- 3401 N Lockwood Dr, Lakeside, AZ 85929
- Phone
- (928) 368-2060
- Fax
- (801) 296-5111
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Haven of LakesideCMS Care Compare ratings for the facility at the same street address
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- Banner HealthCertificate of Waiver, Physician office03D2325741
- Barnet Dulaney Perkins Eye CenterCertificate of Waiver, Physician office03D2230043
- Billy Creek ClinicCertificate of Waiver, Physician office03D2012303
- Changepoint Psychiatric HospitalCertificate of Waiver, Other03D0881034
- Comprehensive Medical CareCertificate of Waiver, Physician office03D1025168
- Hospice Compassus - White MountainCertificate of Waiver, Hospice03D1035510
- Premier Mountain ImagingCertificate of Waiver, Other03D2303061
- Safeway Pharmacy #2069Certificate of Waiver, Pharmacy03D2073056
- Solterra at White Mountains Two, LLCCertificate of Waiver, Assisted living facility03D2198889
Related
Questions
What is the CLIA number for Haven of Lakeside in Lakeside?
03D2189424, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Haven of Lakeside hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2189424 expire?
The CMS file lists July 29, 2028 as the certificate expiration date; the certificate took effect July 30, 2026.