03D1036310 CLIA NUMBER - GREEN VALLEY FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 03D1036310
  • Facility Name: GREEN VALLEY FIRE DISTRICT
  • Facility Address: 1285 W CAMINO ENCANTO
    GREEN VALLEY, AZ
    ZIP 85622
  • Facility Phone: 520 625-9400
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ANDREA HERBERT, MD
  • NPI Number: 1477953891
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D1036310
LAB Type Other
Facility Name GREEN VALLEY FIRE DISTRICT
Street 1285 W CAMINO ENCANTO
City GREEN VALLEY
State AZ
ZIP 85622
Phone 520 625-9400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Other
Lab Director ANDREA HERBERT, MD

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This page was last updated on: 6/4/2025