03D1031151 CLIA NUMBER - FORT MOJAVE MESA FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 03D1031151
  • Facility Name: FORT MOJAVE MESA FIRE DEPARTMENT
  • Facility Address: 2230 JOY LANE
    FORT MOHAVE, AZ
    ZIP 86427
  • Facility Phone: 928 768-9181
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STEVEN A. WEST
  • NPI Number: 1942393517
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 03D1031151
LAB Type Ambulance
Facility Name FORT MOJAVE MESA FIRE DEPARTMENT
Street 2230 JOY LANE
City FORT MOHAVE
State AZ
ZIP 86427
Phone 928 768-9181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Ambulance
Lab Director STEVEN A. WEST

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