03D2195750 CLIA NUMBER - HEBER-OVERGAARD FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 03D2195750
  • Facility Name: HEBER-OVERGAARD FIRE DISTRICT
  • Facility Address: 2061 LUMBER VALLEY RD
    OVERGAARD, AZ
    ZIP 85933
  • Facility Phone: 928 535-4346
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JASON S. PAYNE
  • NPI Number: 1770566705
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 03D2195750
LAB Type Ambulance
Facility Name HEBER-OVERGAARD FIRE DISTRICT
Street 2061 LUMBER VALLEY RD
City OVERGAARD
State AZ
ZIP 85933
Phone 928 535-4346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Ambulance
Lab Director JASON S. PAYNE

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