CLIA lab

CLIA 03D2193189: Ponderosa Heart House Call LLC

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

CLIA number 03D2193189 belongs to Ponderosa Heart House Call LLC in Gilbert, AZ.

Certificate of Waiver, effective September 17, 2026, expires September 16, 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
September 17, 2026
Certificate expiration
September 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 17, 2020
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
03D2193189
Lab name
Ponderosa Heart House Call LLC
Address
2162 E Williams Field Rd Ste 111, Gilbert, AZ 85295
Phone
(480) 795-1515
Fax
(480) 597-1723

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.

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Related

Questions

What is the CLIA number for Ponderosa Heart House Call LLC in Gilbert?

03D2193189, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ponderosa Heart House Call LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2193189 expire?

The CMS file lists September 16, 2028 as the certificate expiration date; the certificate took effect September 17, 2026.

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