03D1031153 CLIA NUMBER - DAISY MOUNTAIN FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 03D1031153
  • Facility Name: DAISY MOUNTAIN FIRE DISTRICT
  • Facility Address: 41018 N DAISY MOUNTAIN DR
    ANTHEM, AZ
    ZIP 85086
  • Facility Phone: 623 465-7400
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAN JARRETT
  • NPI Number: 1821133745
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 03D1031153
LAB Type Ambulance
Facility Name DAISY MOUNTAIN FIRE DISTRICT
Street 41018 N DAISY MOUNTAIN DR
City ANTHEM
State AZ
ZIP 85086
Phone 623 465-7400
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 DAN JARRETT

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