05D0687527 CLIA NUMBER - ARCATA MAD RIVER AMBULANCE INC

Laboratory Demographics

  • CLIA Code: 05D0687527
  • Facility Name: ARCATA MAD RIVER AMBULANCE INC
  • Facility Address: 220 F ST PO BOX 4948
    ARCATA, CA
    ZIP 95521
  • Facility Phone: 707 822-3353
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DOUGLAS J. BOILEAU
  • NPI Number: 1184603235
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 05D0687527
LAB Type Other
Facility Name ARCATA MAD RIVER AMBULANCE INC
Street 220 F ST PO BOX 4948
City ARCATA
State CA
ZIP 95521
Phone 707 822-3353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other
Lab Director DOUGLAS J. BOILEAU

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