CLIA lab
CLIA 03D2004513: Tri-State Medical Specialists, LLC
Fort Mohave, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2004513 belongs to Tri-State Medical Specialists, LLC in Fort Mohave, AZ.
Certificate of Waiver, effective September 24, 2026, expires September 23, 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
- September 24, 2026
- Certificate expiration
- September 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 5, 2010
- 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
- 03D2004513
- Lab name
- Tri-State Medical Specialists, LLC
- Address
- 1510 Wagon Wheel Lane, Ste 110, Fort Mohave, AZ 86426
- Phone
- (928) 788-3333
- Fax
- (928) 788-3555
Annual test volume the lab reported
- Waived tests
- 6,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fort Mohave, AZ
- Bullhead City Clinic CorporationCertificate of Waiver, Physician office03D2128461
- Colorado River PediatricsCertificate of Waiver, Physician office03D0990779
- Fort Mojave Mesa Fire DepartmentCertificate of Waiver, Ambulance03D1031151
- Frontier Skin and CancerCertificate of Compliance, Physician office03D2281614
- Guardian Hospice, LLC DBACertificate of Waiver, Other03D2158892
- Loyal Hospice & Palliative Care, LLCCertificate of Waiver, Hospice03D2213213
- Mohave Family HealthcareCertificate of Waiver, Physician office03D0976882
- Rejuvenated Health & WellnessCertificate of Waiver, Independent03D2248610
- Safeway Pharmacy #1474Certificate of Waiver, Pharmacy03D2073022
- Serenity Home Health, LLCCertificate of Waiver, Home health agency03D2306343
Related
Questions
What is the CLIA number for Tri-State Medical Specialists, LLC in Fort Mohave?
03D2004513, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri-State Medical Specialists, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2004513 expire?
The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.