CLIA lab
CLIA 03D2158892: Guardian Hospice, LLC DBA
Fort Mohave, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2158892 belongs to Guardian Hospice, LLC DBA in Fort Mohave, AZ.
Certificate of Waiver, effective December 10, 2024, expires December 9, 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 10, 2024
- Certificate expiration
- December 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 10, 2018
- Facility type
- Other
- 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
- 03D2158892
- Lab name
- Guardian Hospice, LLC DBA
- Additional name
- Arizona Life Hospice - Mohave
- Address
- 5225 Highway 95 Ste 7, Fort Mohave, AZ 86426
- Phone
- (928) 278-7691
- Fax
- (928) 577-2354
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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
- Smith's Pharmacy #473Certificate of Waiver, Physician office03D2010185
Related
Questions
What is the CLIA number for Guardian Hospice, LLC DBA in Fort Mohave?
03D2158892, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Guardian Hospice, LLC DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2158892 expire?
The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.