CLIA lab

CLIA 03D2193887: Musick's Medical, PLLC

Kingman, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D2193887 belongs to Musick's Medical, PLLC in Kingman, AZ.

Certificate of Waiver, effective September 25, 2026, expires September 24, 2028.

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
September 25, 2026
Certificate expiration
September 24, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 25, 2020
Facility type
Other practitioner
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
03D2193887
Lab name
Musick's Medical, PLLC
Address
1111 Riata Valley Rd, Kingman, AZ 86409
Phone
(928) 681-0101
Fax
(833) 989-2165

Annual test volume the lab reported

Waived tests
100

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 Musick's Medical, PLLC in Kingman?

03D2193887, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Musick's Medical, PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2193887 expire?

The CMS file lists September 24, 2028 as the certificate expiration date; the certificate took effect September 25, 2026.

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