03D0889296 CLIA NUMBER - VERDE VALLEY AMBULANCE COMPANY

Laboratory Demographics

  • CLIA Code: 03D0889296
  • Facility Name: VERDE VALLEY AMBULANCE COMPANY
  • Facility Address: 839 W MINGUS AVE
    COTTONWOOD, AZ
    ZIP 86326
  • Facility Phone: 928 634-7750
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KIM MOORE
  • NPI Number: 1659488922
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D0889296
LAB Type Other
Facility Name VERDE VALLEY AMBULANCE COMPANY
Street 839 W MINGUS AVE
City COTTONWOOD
State AZ
ZIP 86326
Phone 928 634-7750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Other
Lab Director KIM MOORE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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