CLIA lab
CLIA 03D2348458: Open Range Family Medicine
Wittmann, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2348458 belongs to Open Range Family Medicine in Wittmann, AZ.
Certificate for Provider-Performed Microscopy Procedures, effective August 6, 2026, expires August 5, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 6, 2026
- Certificate expiration
- August 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 6, 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
- 03D2348458
- Lab name
- Open Range Family Medicine
- Address
- 24112 W Jomax, Wittmann, AZ 85361
- Phone
- (602) 833-4096
- Fax
- (602) 536-0870
Annual test volume the lab reported
- Waived tests
- 250
- Provider-performed microscopy tests
- 50
- Total
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Wittmann, AZ
Related
Questions
What is the CLIA number for Open Range Family Medicine in Wittmann?
03D2348458, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Open Range Family Medicine hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 03D2348458 expire?
The CMS file lists August 5, 2028 as the certificate expiration date; the certificate took effect August 6, 2026.