03D1029853 CLIA NUMBER - SUPERSTITION FIRE & MEDICAL DISTRICT

Laboratory Demographics

CLIA Number: 03D1029853

Facility Name: SUPERSTITION FIRE & MEDICAL DISTRICT

Facility Address:
565 N IDAHO RD,
APACHE JUNCTION, AZ
ZIP 85119
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Facility Phone Number: 480 982-4445

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1184003220

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	03D1029853
LAB Type	Other
Facility Name	SUPERSTITION FIRE & MEDICAL DISTRICT
Street	565 N IDAHO RD,
City	APACHE JUNCTION
State	AZ
ZIP	85119
Phone	480 982-4445
CertificateType	4
CertificateEffectiveDate	8/24/2022
CertificateExpirationDate	8/23/2024
FacilityType	Waiver

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