CLIA lab
CLIA 03D2303061: Premier Mountain Imaging
Lakeside, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2303061 belongs to Premier Mountain Imaging in Lakeside, AZ.
Certificate of Waiver, effective April 19, 2026, expires April 18, 2028.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 19, 2026
- Certificate expiration
- April 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 19, 2024
- Facility type
- Other
- 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
- 03D2303061
- Lab name
- Premier Mountain Imaging
- Address
- 5448 S Highway 260 Ste 110, Lakeside, AZ 85929
- Phone
- (928) 216-5250
- Fax
- (928) 216-5254
Annual test volume the lab reported
- Waived tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lakeside, AZ
- Banner HealthCertificate of Waiver, Other03D2146756
- Banner HealthCertificate of Waiver, Physician office03D2325741
- Barnet Dulaney Perkins Eye CenterCertificate of Waiver, Physician office03D2230043
- Billy Creek ClinicCertificate of Waiver, Physician office03D2012303
- Changepoint Psychiatric HospitalCertificate of Waiver, Other03D0881034
- Comprehensive Medical CareCertificate of Waiver, Physician office03D1025168
- Haven of LakesideCertificate of Waiver, Skilled nursing or nursing facility03D2189424
- Hospice Compassus - White MountainCertificate of Waiver, Hospice03D1035510
- Safeway Pharmacy #2069Certificate of Waiver, Pharmacy03D2073056
- Solterra at White Mountains Two, LLCCertificate of Waiver, Assisted living facility03D2198889
Related
Questions
What is the CLIA number for Premier Mountain Imaging in Lakeside?
03D2303061, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premier Mountain Imaging hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2303061 expire?
The CMS file lists April 18, 2028 as the certificate expiration date; the certificate took effect April 19, 2026.