03D2195750 CLIA NUMBER - HEBER-OVERGAARD FIRE DISTRICT

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Laboratory Demographics

CLIA Number: 03D2195750

Facility Name: HEBER-OVERGAARD FIRE DISTRICT

Facility Address:
2061 LUMBER VALLEY RD
OVERGAARD, AZ
ZIP 85933
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Facility Phone Number: 928 535-4346

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1770566705

Taxonomy: 3416L0300X - Ambulance

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
CertificateType	4
CertificateEffectiveDate	10/13/2022
CertificateExpirationDate	10/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024