CLIA lab
CLIA 03D2197942: My Father's Retirement Ranch
Wickenburg, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2197942 belongs to My Father's Retirement Ranch in Wickenburg, AZ.
Certificate of Waiver, effective October 28, 2024, expires October 27, 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 28, 2024
- Certificate expiration
- October 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 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
- 03D2197942
- Lab name
- My Father's Retirement Ranch
- Address
- 400 N Jefferson St, Wickenburg, AZ 85390
- Phone
- (928) 684-5925
- Fax
- (928) 684-3247
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.
Other labs in Wickenburg, AZ
- Adelante Healthcare WickenburgCertificate of Waiver, Federally qualified health center03D2333151
- Arizona Digestive Health, PCCertificate of Waiver, Physician office03D2129785
- Community First Home Health Care, LLCCertificate of Waiver, Home health agency03D2115998
- Community Hospital Association Inc DBACertificate of Compliance, Hospital03D0531371
- Community Hospital ClinicCertificate for Provider-Performed Microscopy Procedures, Rural health clinic03D1095854
- Gentle Path at the MeadowsCertificate of Waiver, Rural health clinic03D0969637
- Meadows of Wickenburg Inc,theCertificate of Waiver, Other03D0705034
- Qwickcare Urgent CareCertificate of Waiver, Other03D2230348
- Rio Retreat Center LLCCertificate of Waiver, Comprehensive outpatient rehab facility03D2262153
- Rosewood Ranch LPCertificate of Waiver, Other03D0957402
Related
Questions
What is the CLIA number for My Father's Retirement Ranch in Wickenburg?
03D2197942, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does My Father's Retirement Ranch hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2197942 expire?
The CMS file lists October 27, 2026 as the certificate expiration date; the certificate took effect October 28, 2024.