CLIA lab
CLIA 03D2169568: Tri-State Community Healthcare Center
Mohave Valley, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2169568 belongs to Tri-State Community Healthcare Center in Mohave Valley, AZ.
Certificate of Waiver, effective July 23, 2025, expires July 22, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 23, 2025
- Certificate expiration
- July 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 23, 2019
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 03D2169568
- Lab name
- Tri-State Community Healthcare Center
- Address
- 8700 S Hwy 95, Mohave Valley, AZ 86440
- Phone
- (928) 768-7113
- Fax
- (928) 768-9334
Annual test volume the lab reported
- Waived tests
- 9,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mohave Valley, AZ
Related
Questions
What is the CLIA number for Tri-State Community Healthcare Center in Mohave Valley?
03D2169568, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri-State Community Healthcare Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2169568 expire?
The CMS file lists July 22, 2027 as the certificate expiration date; the certificate took effect July 23, 2025.