CLIA lab
CLIA 05D0888779: Fort Mojave Indian Health Center
Mohave Valley, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0888779 belongs to Fort Mojave Indian Health Center in Mohave Valley, AZ.
Certificate of Waiver, effective September 9, 2025, expires September 8, 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
- September 9, 2025
- Certificate expiration
- September 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 13, 1994
- Facility type
- Federally qualified health center
- Ownership (control type)
- Government, 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
- 05D0888779
- Lab name
- Fort Mojave Indian Health Center
- Address
- 1607 Plantation Road, Mohave Valley, AZ 86440
- Phone
- (928) 346-4679
- Fax
- (928) 346-4696
Annual test volume the lab reported
- Waived tests
- 919
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 Fort Mojave Indian Health Center in Mohave Valley?
05D0888779, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fort Mojave Indian Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0888779 expire?
The CMS file lists September 8, 2027 as the certificate expiration date; the certificate took effect September 9, 2025.