03D2202707 CLIA NUMBER - MCMULLEN VALLEY FIRE DIST

Laboratory Demographics

  • CLIA Code: 03D2202707
  • Facility Name: MCMULLEN VALLEY FIRE DIST
  • Facility Address: 66998 SALOME RD
    SALOME, AZ
    ZIP 85348
  • Facility Phone: 928 859-3261
  • Facility Type: Other - FIRE DIST
  • Facility Type: Waiver
  • Lab Director: GUILLERMO PALMA
  • NPI Number: 1861674400
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 03D2202707
LAB Type Other - FIRE DIST
Facility Name MCMULLEN VALLEY FIRE DIST
Street 66998 SALOME RD
City SALOME
State AZ
ZIP 85348
Phone 928 859-3261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Other - FIRE DIST
Lab Director GUILLERMO PALMA

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