CLIA lab
CLIA 03D1096519: Mingus Mountain Youth Treatment Center
Prescott Valley, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1096519 belongs to Mingus Mountain Youth Treatment Center in Prescott Valley, AZ.
Certificate of Waiver, effective March 6, 2025, expires March 5, 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
- March 6, 2025
- Certificate expiration
- March 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 6, 2009
- Facility type
- Other
- 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
- 03D1096519
- Lab name
- Mingus Mountain Youth Treatment Center
- Address
- 15801 E Don Carlos Dr, Prescott Valley, AZ 86315
- Phone
- (602) 335-2086
- Fax
- (928) 356-3071
Annual test volume the lab reported
- Waived tests
- 2,500
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 Mingus Mountain Youth Treatment Center in Prescott Valley?
03D1096519, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mingus Mountain Youth Treatment Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1096519 expire?
The CMS file lists March 5, 2027 as the certificate expiration date; the certificate took effect March 6, 2025.