CLIA lab
CLIA 03D2191561: Benson Healthcare - San Pedro
Benson, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2191561 belongs to Benson Healthcare - San Pedro in Benson, AZ.
Certificate of Waiver, effective August 28, 2026, expires August 27, 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
- August 28, 2026
- Certificate expiration
- August 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 28, 2020
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 03D2191561
- Lab name
- Benson Healthcare - San Pedro
- Address
- 890 W 4th St, Benson, AZ 85602
- Phone
- (520) 586-3664
- Fax
- (520) 586-3486
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Benson, AZ
- Benson Family Health CenterCertificate of Waiver, Federally qualified health center03D2148552
- Benson HospitalCertificate of Compliance, Hospital03D0531824
- Benson Hospital Family Health CareCertificate of Waiver, Community clinic03D2134804
- Community Bridges, Inc - Benson TransitionCertificate of Waiver, Other03D2036545
- Community Bridges, Inc Benson Outpt Services CTRCertificate of Waiver, Other03D2036401
- Community Partners Integrated Healthcare, IncCertificate of Waiver, Physician office03D2095140
- Healthcare Innovations, IncCertificate of Waiver, Ambulance03D1031481
- Pain Institute of Southern Arizona - BensonCertificate of Waiver, Other practitioner03D2170646
- Quiburi Mission Nursing & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility03D0531826
- Safeway Pharmacy #1275Certificate of Waiver, Pharmacy03D2073018
Related
Questions
What is the CLIA number for Benson Healthcare - San Pedro in Benson?
03D2191561, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Benson Healthcare - San Pedro hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2191561 expire?
The CMS file lists August 27, 2028 as the certificate expiration date; the certificate took effect August 28, 2026.