CLIA lab
CLIA 03D1093709: Kingman Urology
Kingman, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1093709 belongs to Kingman Urology in Kingman, AZ.
Certificate of Waiver, effective November 24, 2025, expires November 23, 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
- November 24, 2025
- Certificate expiration
- November 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 30, 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
- 03D1093709
- Lab name
- Kingman Urology
- Address
- 1712 Sycamore Ave, Kingman, AZ 86409
- Phone
- (928) 681-8686
- Fax
- (928) 681-8690
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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Related
Questions
What is the CLIA number for Kingman Urology in Kingman?
03D1093709, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kingman Urology hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1093709 expire?
The CMS file lists November 23, 2027 as the certificate expiration date; the certificate took effect November 24, 2025.