03D2128461 CLIA NUMBER - BULLHEAD CITY CLINIC CORPORATION DBA FORT MOHAVE WALK-IN CARE

Laboratory Demographics

  • CLIA Code: 03D2128461
  • Facility Name: BULLHEAD CITY CLINIC CORPORATION DBA FORT MOHAVE WALK-IN CARE
  • Facility Address: 5263 HWY 95
    FORT MOHAVE, AZ
    ZIP 86426
  • Facility Phone: 928 704-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICK MORGAN

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CLIA Record

Field Name Field Value
CLIA Number 03D2128461
LAB Type Physician Office
Facility Name BULLHEAD CITY CLINIC CORPORATION DBA FORT MOHAVE WALK-IN CARE
Street 5263 HWY 95
City FORT MOHAVE
State AZ
ZIP 86426
Phone 928 704-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Physician Office
Lab Director RICK MORGAN

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This page was last updated on: 6/4/2025