CLIA lab
CLIA 03D2347054: Blue Palm Medical
Surprise, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2347054 belongs to Blue Palm Medical in Surprise, AZ.
Certificate of Waiver, effective July 10, 2026, expires July 9, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 10, 2026
- Certificate expiration
- July 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 10, 2026
- 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
- 03D2347054
- Lab name
- Blue Palm Medical
- Address
- 14973 W Bell Rd Ste 150, Surprise, AZ 85374
- Phone
- (678) 340-1015
- Fax
- (602) 910-5487
Annual test volume the lab reported
- Waived tests
- 500
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 Blue Palm Medical in Surprise?
03D2347054, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blue Palm Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2347054 expire?
The CMS file lists July 9, 2028 as the certificate expiration date; the certificate took effect July 10, 2026.