CLIA lab
CLIA 03D1092977: Krmc Family Practice & Resident Clinic
Kingman, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1092977 belongs to Krmc Family Practice & Resident Clinic in Kingman, AZ.
Certificate of Waiver, effective December 5, 2025, expires December 4, 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
- December 5, 2025
- Certificate expiration
- December 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 8, 2008
- Facility type
- Physician office
- 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
- 03D1092977
- Lab name
- Krmc Family Practice & Resident Clinic
- Address
- 3801 Santa Rosa Dr 4th Floor, Kingman, AZ 86401
- Phone
- (928) 681-8701
- Fax
- (928) 681-8702
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aims Outpatient SurgeryCertificate of Waiver, Ambulatory surgery center03D2044249
- Aims Physicians & Surgeons GroupCertificate of Waiver, Physician office03D2150841
- Akdhc - KingmanCertificate of Waiver, Physician office03D1071951
- Arizona Institute of Medicine and SurgeryCertificate of Waiver, Physician office03D1022941
- Avista Senior Living White CliffsCertificate of Waiver, Assisted living facility03D2119988
- Community Medical Services - KingmanCertificate of Waiver, Other03D2164707
- Cook Family Practice, IncCertificate of Waiver, Other practitioner03D2170991
- Desert Highlands Care CenterCertificate of Waiver, Skilled nursing or nursing facility03D0534290
Related
Questions
What is the CLIA number for Krmc Family Practice & Resident Clinic in Kingman?
03D1092977, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Krmc Family Practice & Resident Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1092977 expire?
The CMS file lists December 4, 2027 as the certificate expiration date; the certificate took effect December 5, 2025.