CLIA lab
CLIA 03D2024361: Stout Wellness Center
Fort Mohave, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2024361 belongs to Stout Wellness Center in Fort Mohave, AZ.
Certificate of Waiver, effective May 13, 2025, expires May 12, 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
- May 13, 2025
- Certificate expiration
- May 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 2011
- 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
- 03D2024361
- Lab name
- Stout Wellness Center
- Address
- 5130 S Hwy 95, Fort Mohave, AZ 86426
- Phone
- (928) 768-2811
- Fax
- (928) 768-9787
Annual test volume the lab reported
- Waived tests
- 400
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 Stout Wellness Center in Fort Mohave?
03D2024361, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Stout Wellness Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2024361 expire?
The CMS file lists May 12, 2027 as the certificate expiration date; the certificate took effect May 13, 2025.