CLIA lab

CLIA 03D2194730: Las Fuentes Resort Village

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

CLIA number 03D2194730 belongs to Las Fuentes Resort Village in Prescott, AZ.

Certificate of Waiver, effective October 2, 2026, expires October 1, 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
October 2, 2026
Certificate expiration
October 1, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 2, 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
03D2194730
Lab name
Las Fuentes Resort Village
Address
1035 Scott Dr, Prescott, AZ 86301
Phone
(928) 445-9300
Fax
(928) 445-9304

Annual test volume the lab reported

Waived tests
1,500

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 Las Fuentes Resort Village in Prescott?

03D2194730, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Las Fuentes Resort Village hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2194730 expire?

The CMS file lists October 1, 2028 as the certificate expiration date; the certificate took effect October 2, 2026.

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