03D2023761 CLIA NUMBER - MOHAVE EYE CENTERS LTD

Laboratory Demographics

  • CLIA Code: 03D2023761
  • Facility Name: MOHAVE EYE CENTERS LTD
  • Facility Address: 3003 HIGHWAY 95 SUITE 11
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 928 763-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT D. MULLANE
  • NPI Number: 1477006724
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 03D2023761
LAB Type Physician Office
Facility Name MOHAVE EYE CENTERS LTD
Street 3003 HIGHWAY 95 SUITE 11
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 928 763-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director SCOTT D. MULLANE

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This page was last updated on: 9/29/2025