03D1041398 CLIA NUMBER - SUPERIOR FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 03D1041398

Facility Name: SUPERIOR FIRE DEPARTMENT

Facility Address:
236 GOLF COURSE RD
SUPERIOR, AZ
ZIP 85173
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Facility Phone Number: (520) 689-5671

Facility Type: AMBULANCE

Certificate Type: Waiver

NPI Number: 1033504469

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	03D1041398
LAB Type	AMBULANCE
Facility Name	SUPERIOR FIRE DEPARTMENT
Street	236 GOLF COURSE RD
City	SUPERIOR
State	AZ
ZIP	85173
Phone	(520) 689-5671

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This page was last updated on: 5/11/2023