03D1028090 CLIA NUMBER - ARIVACA FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 03D1028090
  • Facility Name: ARIVACA FIRE DISTRICT
  • Facility Address: 16091 W UNIVERSAL RANCH RD
    ARIVACA, AZ
    ZIP 85601
  • Facility Phone: 520 398-2003
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KATHY BRUMAGIN
  • NPI Number: 1972879716
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 03D1028090
LAB Type Ambulance
Facility Name ARIVACA FIRE DISTRICT
Street 16091 W UNIVERSAL RANCH RD
City ARIVACA
State AZ
ZIP 85601
Phone 520 398-2003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Ambulance
Lab Director KATHY BRUMAGIN

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