CLIA lab
CLIA 03D2320464: Legendary Mobile Phlebotomy & Lab LLC
Tolleson, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2320464 belongs to Legendary Mobile Phlebotomy & Lab LLC in Tolleson, AZ.
Certificate of Waiver, effective March 18, 2025, expires March 17, 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
- March 18, 2025
- Certificate expiration
- March 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 2025
- Facility type
- Mobile lab
- 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
- 03D2320464
- Lab name
- Legendary Mobile Phlebotomy & Lab LLC
- Address
- 8317 W Monroe St, Tolleson, AZ 85353
- Phone
- (602) 632-3104
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- American Family Medicine, LLCCertificate of Waiver, Physician office03D2101639
- Az Wellness First PLLCCertificate of Waiver, Other03D2351016
- Banner Childrens Community ClinicsCertificate of Waiver, Physician office03D2296965
- Crossover HealthCertificate of Waiver, Physician office03D2197731
- Desert West Family Health CenterCertificate of Waiver, Independent03D0531356
- Honorhealth Urgent CareCertificate of Waiver, Physician office03D2060219
- Inhouse PhysiciansCertificate of Waiver, Health fair03D2170276
- JBS TollesonCertificate of Waiver, Industrial03D2206348
Related
Questions
What is the CLIA number for Legendary Mobile Phlebotomy & Lab LLC in Tolleson?
03D2320464, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legendary Mobile Phlebotomy & Lab LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2320464 expire?
The CMS file lists March 17, 2027 as the certificate expiration date; the certificate took effect March 18, 2025.