CLIA lab
CLIA 03D0990779: Colorado River Pediatrics
Fort Mohave, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0990779 belongs to Colorado River Pediatrics in Fort Mohave, AZ.
Certificate of Waiver, effective August 31, 2025, expires August 30, 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
- August 31, 2025
- Certificate expiration
- August 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 2001
- 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
- 03D0990779
- Lab name
- Colorado River Pediatrics
- Address
- 1611 Joy Lane Ste 2, Fort Mohave, AZ 86426
- Phone
- (928) 788-8000
- Fax
- (928) 788-8008
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 Colorado River Pediatrics in Fort Mohave?
03D0990779, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Colorado River Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D0990779 expire?
The CMS file lists August 30, 2027 as the certificate expiration date; the certificate took effect August 31, 2025.