CLIA lab
CLIA 03D2338949: Mogollon Treatment Center, LLC
Payson, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2338949 belongs to Mogollon Treatment Center, LLC in Payson, AZ.
Certificate of Waiver, effective February 20, 2026, expires February 19, 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
- February 20, 2026
- Certificate expiration
- February 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 20, 2026
- 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
- 03D2338949
- Lab name
- Mogollon Treatment Center, LLC
- Address
- 300 W Wade Ln, Payson, AZ 85541
- Phone
- (928) 474-7173
- Fax
- (928) 474-7460
Annual test volume the lab reported
- Waived tests
- 270
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 Mogollon Treatment Center, LLC in Payson?
03D2338949, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mogollon Treatment Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2338949 expire?
The CMS file lists February 19, 2028 as the certificate expiration date; the certificate took effect February 20, 2026.