CLIA lab
CLIA 03D2221041: Optum Primary Care - Iron Springs
Prescott, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2221041 belongs to Optum Primary Care - Iron Springs in Prescott, AZ.
Certificate of Waiver, effective April 16, 2025, expires April 15, 2027.
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
- April 16, 2025
- Certificate expiration
- April 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 16, 2021
- 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
- 03D2221041
- Lab name
- Optum Primary Care - Iron Springs
- Address
- 1151 W Iron Springs Rd, Ste F, Prescott, AZ 86305
- Phone
- (928) 612-2368
- Fax
- (928) 612-2369
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 Optum Primary Care - Iron Springs in Prescott?
03D2221041, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Optum Primary Care - Iron Springs hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2221041 expire?
The CMS file lists April 15, 2027 as the certificate expiration date; the certificate took effect April 16, 2025.