03D0888354 CLIA NUMBER - DESERT HILLS FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 03D0888354

Facility Name: DESERT HILLS FIRE DEPARTMENT

Facility Address:
3983 LONDON BRIDGE RD
LAKE HAVASU CITY, AZ
ZIP 86404
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Facility Phone Number: 928 764-3333

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1396079323

Taxonomy: 146M00000X - Emergency Medical Technician, Intermediate
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.

CLIA Record

Field Name	Field Value
CLIA Number	03D0888354
LAB Type	Other
Facility Name	DESERT HILLS FIRE DEPARTMENT
Street	3983 LONDON BRIDGE RD
City	LAKE HAVASU CITY
State	AZ
ZIP	86404
Phone	928 764-3333
CertificateType	4
CertificateEffectiveDate	7/1/2022
CertificateExpirationDate	6/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024