03D1029141 CLIA NUMBER - SUNSITES-PEARCE FIRE DISTRICT

Laboratory Demographics

CLIA Number: 03D1029141

Facility Name: SUNSITES-PEARCE FIRE DISTRICT

Facility Address:
105 TRACY RD
PEARCE, AZ
ZIP 85625
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Facility Phone Number: 520 826-3645

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1417006867

Taxonomy: 146L00000X - Emergency Medical Technician, Paramedic
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.

CLIA Record

Field Name	Field Value
CLIA Number	03D1029141
LAB Type	Ambulance
Facility Name	SUNSITES-PEARCE FIRE DISTRICT
Street	105 TRACY RD
City	PEARCE
State	AZ
ZIP	85625
Phone	520 826-3645
CertificateType	4
CertificateEffectiveDate	8/10/2022
CertificateExpirationDate	8/9/2024
FacilityType	Waiver

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