CLIA lab
CLIA 03D2197198: Sean P Wilson MD
St Johns, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2197198 belongs to Sean P Wilson MD in St Johns, AZ.
Certificate of Waiver, effective October 22, 2026, expires October 21, 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 22, 2026
- Certificate expiration
- October 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 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
- 03D2197198
- Lab name
- Sean P Wilson MD
- Address
- 1200 W Cleveland, Ste 6, St Johns, AZ 85936
- Phone
- (928) 337-3125
- Fax
- (928) 337-3291
Annual test volume the lab reported
- Waived tests
- 6,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in St Johns, AZ
Related
Questions
What is the CLIA number for Sean P Wilson MD in St Johns?
03D2197198, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sean P Wilson MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2197198 expire?
The CMS file lists October 21, 2028 as the certificate expiration date; the certificate took effect October 22, 2026.