CLIA lab
CLIA 03D2158702: Walmart Pharmacy 10-4203
Fort Mohave, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2158702 belongs to Walmart Pharmacy 10-4203 in Fort Mohave, AZ.
Certificate of Waiver, effective December 4, 2024, expires December 3, 2026.
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
- December 4, 2024
- Certificate expiration
- December 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 4, 2018
- 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
- 03D2158702
- Lab name
- Walmart Pharmacy 10-4203
- Address
- 5210 S Hwy 95, Fort Mohave, AZ 86426
- Phone
- (928) 768-9022
- Fax
- (928) 788-3823
Annual test volume the lab reported
- Waived tests
- 5,000
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 Walmart Pharmacy 10-4203 in Fort Mohave?
03D2158702, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-4203 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2158702 expire?
The CMS file lists December 3, 2026 as the certificate expiration date; the certificate took effect December 4, 2024.