CLIA lab
CLIA 03D2257956: Mingus Mountain Primary Care, PLLC
Cottonwood, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2257956 belongs to Mingus Mountain Primary Care, PLLC in Cottonwood, AZ.
Certificate of Waiver, effective April 13, 2026, expires April 12, 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
- April 13, 2026
- Certificate expiration
- April 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 13, 2022
- 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
- 03D2257956
- Lab name
- Mingus Mountain Primary Care, PLLC
- Address
- 450 S Willard St Ste 107, Cottonwood, AZ 86326
- Phone
- (928) 649-6080
- Fax
- (928) 649-6091
Annual test volume the lab reported
- Waived tests
- 600
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 Mingus Mountain Primary Care, PLLC in Cottonwood?
03D2257956, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mingus Mountain Primary Care, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2257956 expire?
The CMS file lists April 12, 2028 as the certificate expiration date; the certificate took effect April 13, 2026.