CLIA lab
CLIA 03D2212829: Lakeside Heart and Vascular Center-Kingman
Kingman, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2212829 belongs to Lakeside Heart and Vascular Center-Kingman in Kingman, AZ.
Certificate of Waiver, effective February 8, 2025, expires February 7, 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
- February 8, 2025
- Certificate expiration
- February 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 8, 2021
- 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
- 03D2212829
- Lab name
- Lakeside Heart and Vascular Center-Kingman
- Address
- 1753 Airway Avenue, Ste A, Kingman, AZ 86409
- Phone
- (928) 453-2727
- Fax
- (928) 453-2828
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Akdhc - KingmanCertificate of Waiver, Physician office03D1071951
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- Avista Senior Living White CliffsCertificate of Waiver, Assisted living facility03D2119988
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Related
Questions
What is the CLIA number for Lakeside Heart and Vascular Center-Kingman in Kingman?
03D2212829, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeside Heart and Vascular Center-Kingman hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2212829 expire?
The CMS file lists February 7, 2027 as the certificate expiration date; the certificate took effect February 8, 2025.