03D1027662 CLIA NUMBER - GOLDEN SHORES FIRE DEPT

Laboratory Demographics

CLIA Number: 03D1027662

Facility Name: GOLDEN SHORES FIRE DEPT

Facility Address:
12950 OATMAN RD
TOPOCK, AZ
ZIP 86436
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Facility Phone Number: 928 768-4546

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1265508105

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	03D1027662
LAB Type	Ambulance
Facility Name	GOLDEN SHORES FIRE DEPT
Street	12950 OATMAN RD
City	TOPOCK
State	AZ
ZIP	86436
Phone	928 768-4546
CertificateType	4
CertificateEffectiveDate	7/6/2022
CertificateExpirationDate	7/5/2024
FacilityType	Waiver

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