CLIA lab
CLIA 03D2197543: Alta Vista Senior Living
Prescott, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2197543 belongs to Alta Vista Senior Living in Prescott, AZ.
Certificate of Waiver, effective October 26, 2024, expires October 25, 2026.
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 26, 2024
- Certificate expiration
- October 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 26, 2020
- Facility type
- Assisted living 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
- 03D2197543
- Lab name
- Alta Vista Senior Living
- Address
- 916 Canterbury Lane, Prescott, AZ 86301
- Phone
- (928) 772-6000
- Fax
- (928) 445-8571
Annual test volume the lab reported
- Waived tests
- 300
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 Alta Vista Senior Living in Prescott?
03D2197543, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alta Vista Senior Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2197543 expire?
The CMS file lists October 25, 2026 as the certificate expiration date; the certificate took effect October 26, 2024.