CLIA lab

CLIA 03D2234921: PHC Coolidge Clinic

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

CLIA number 03D2234921 belongs to PHC Coolidge Clinic in Coolidge, AZ.

Certificate of Waiver, effective September 3, 2025, expires September 2, 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
September 3, 2025
Certificate expiration
September 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 3, 2021
Facility type
Physician office
Ownership (control type)
Other
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
03D2234921
Lab name
PHC Coolidge Clinic
Address
556 S Arizona Blvd, Coolidge, AZ 85128
Phone
(520) 721-1887
Fax
(520) 371-7126

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 PHC Coolidge Clinic in Coolidge?

03D2234921, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does PHC Coolidge Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2234921 expire?

The CMS file lists September 2, 2027 as the certificate expiration date; the certificate took effect September 3, 2025.

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