CLIA lab
CLIA 03D2022990: Walgreens #12880
Kingman, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2022990 belongs to Walgreens #12880 in Kingman, AZ.
Certificate of Waiver, effective April 5, 2025, expires April 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
- April 5, 2025
- Certificate expiration
- April 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 13, 2011
- Facility type
- Pharmacy
- 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
- 03D2022990
- Lab name
- Walgreens #12880
- Address
- 1925 E Andy Devine Ave, Kingman, AZ 86401
- Phone
- (928) 753-7766
- Fax
- (928) 753-7786
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kingman, AZ
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- Advice and Aid Pregnancy CenterCertificate of Waiver, Other03D1042576
- 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 Walgreens #12880 in Kingman?
03D2022990, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #12880 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2022990 expire?
The CMS file lists April 4, 2027 as the certificate expiration date; the certificate took effect April 5, 2025.