03D1039964 CLIA NUMBER - SUMMIT FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 03D1039964
  • Facility Name: SUMMIT FIRE DISTRICT
  • Facility Address: 8905 N KOCH FIELD ROAD
    FLAGSTAFF, AZ
    ZIP 86004
  • Facility Phone: 928 526-9010
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RONALD F. MARTINEZ
  • NPI Number: 1003207226
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 03D1039964
LAB Type Other
Facility Name SUMMIT FIRE DISTRICT
Street 8905 N KOCH FIELD ROAD
City FLAGSTAFF
State AZ
ZIP 86004
Phone 928 526-9010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Other
Lab Director RONALD F. MARTINEZ

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