CLIA lab
CLIA 03D2010185: Smith's Pharmacy #473
Fort Mohave, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2010185 belongs to Smith's Pharmacy #473 in Fort Mohave, AZ.
Certificate of Waiver, effective July 21, 2026, expires July 20, 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
- July 21, 2026
- Certificate expiration
- July 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 21, 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
- 03D2010185
- Lab name
- Smith's Pharmacy #473
- Address
- 4747 Hwy 95, Fort Mohave, AZ 86427
- Phone
- (928) 330-3704
- Fax
- (928) 330-3707
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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 Smith's Pharmacy #473 in Fort Mohave?
03D2010185, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Smith's Pharmacy #473 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2010185 expire?
The CMS file lists July 20, 2028 as the certificate expiration date; the certificate took effect July 21, 2026.