CLIA lab
CLIA 03D0961663: Mohave Mental Health Clinic Inc
Kingman, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0961663 belongs to Mohave Mental Health Clinic Inc in Kingman, AZ.
Certificate of Waiver, effective June 14, 2025, expires June 13, 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
- June 14, 2025
- Certificate expiration
- June 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 14, 1999
- Facility type
- Other
- Ownership (control type)
- Private
- 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
- 03D0961663
- Lab name
- Mohave Mental Health Clinic Inc
- Address
- 1741 Sycamore Ave, Kingman, AZ 86409
- Phone
- (928) 757-8111
- Fax
- (928) 757-3256
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Avista Senior Living White CliffsCertificate of Waiver, Assisted living facility03D2119988
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Related
Questions
What is the CLIA number for Mohave Mental Health Clinic Inc in Kingman?
03D0961663, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mohave Mental Health Clinic Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D0961663 expire?
The CMS file lists June 13, 2027 as the certificate expiration date; the certificate took effect June 14, 2025.