CLIA lab
CLIA 03D2274262: Jeanie Wildes, NP
Sedona, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2274262 belongs to Jeanie Wildes, NP in Sedona, AZ.
Certificate for Provider-Performed Microscopy Procedures, effective December 29, 2024, expires December 28, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 29, 2024
- Certificate expiration
- December 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 29, 2022
- 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
- 03D2274262
- Lab name
- Jeanie Wildes, NP
- Address
- 6446 State Rte 179 Ste 209, Sedona, AZ 86351
- Phone
- (928) 204-4900
- Fax
- (928) 554-4751
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 100
- Total
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Helios Health AzCertificate of Waiver, Physician office03D2239931
- Hospice Compassus - Sedona - Flagstaff -Certificate of Waiver, Hospice03D1037099
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- Nextcare Arizona I JV LLCCertificate of Waiver, Other03D0960614
Related
Questions
What is the CLIA number for Jeanie Wildes, NP in Sedona?
03D2274262, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jeanie Wildes, NP hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 03D2274262 expire?
The CMS file lists December 28, 2026 as the certificate expiration date; the certificate took effect December 29, 2024.