03D2163432 CLIA NUMBER - ARIZONA LIFELINE

Laboratory Demographics

  • CLIA Code: 03D2163432
  • Facility Name: ARIZONA LIFELINE
  • Facility Address: 675 E 1ST AVE
    SAINT DAVID, AZ
    ZIP 85630
  • Facility Phone: 520 720-9304
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STACY L. WEST
  • NPI Number: 1396761516
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 03D2163432
LAB Type Ambulance
Facility Name ARIZONA LIFELINE
Street 675 E 1ST AVE
City SAINT DAVID
State AZ
ZIP 85630
Phone 520 720-9304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Ambulance
Lab Director STACY L. WEST

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