CLIA lab
CLIA 03D1032596: Khatib Family Practice PLC
Bullhead City, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1032596 belongs to Khatib Family Practice PLC in Bullhead City, AZ.
Certificate of Waiver, effective October 26, 2026, expires October 25, 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
- October 26, 2026
- Certificate expiration
- October 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 26, 2004
- 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
- 03D1032596
- Lab name
- Khatib Family Practice PLC
- Address
- 2755 Silver Creek Rd, Bldg B, Ste 109, Bullhead City, AZ 86442
- Phone
- (928) 763-9009
- Fax
- (928) 763-9292
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Akdhc Surgery Center, LLC - BullheadCertificate of Waiver, Ambulatory surgery center03D1060597
- Arizona In-Home Partner-Ii, LLCCertificate of Waiver, Home health agency03D2037563
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- Avista Senior Living Joshua SpringsCertificate of Waiver, Assisted living facility03D2145301
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- Bullhead City Clinic CorporationCertificate of Waiver, Physician office03D0940123
- Bullhead City Clinic CorporationCertificate for Provider-Performed Microscopy Procedures, Physician office03D2026460
Related
Questions
What is the CLIA number for Khatib Family Practice PLC in Bullhead City?
03D1032596, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Khatib Family Practice PLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1032596 expire?
The CMS file lists October 25, 2028 as the certificate expiration date; the certificate took effect October 26, 2026.