03D1053750 CLIA NUMBER - WILLIAMSON VALLEY FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 03D1053750
  • Facility Name: WILLIAMSON VALLEY FIRE DISTRICT
  • Facility Address: 15450 N WILLIAMSON VALLEY RD
    PRESCOTT, AZ
    ZIP 86305
  • Facility Phone: 928 717-2304
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BRYAN SMITH
  • NPI Number: 1467873851
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 03D1053750
LAB Type Other
Facility Name WILLIAMSON VALLEY FIRE DISTRICT
Street 15450 N WILLIAMSON VALLEY RD
City PRESCOTT
State AZ
ZIP 86305
Phone 928 717-2304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Other
Lab Director BRYAN SMITH

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