CLIA lab
CLIA 03D1033456: Blue Ridge Fire Department
Happy Jack, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1033456 belongs to Blue Ridge Fire Department in Happy Jack, AZ.
Certificate of Waiver, effective November 9, 2024, expires November 8, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 9, 2024
- Certificate expiration
- November 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 9, 2004
- Facility type
- Other
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D1033456
- Lab name
- Blue Ridge Fire Department
- Address
- 5023 Enchanted Ln, Happy Jack, AZ 86024
- Phone
- (928) 477-2751
- Fax
- (928) 477-2765
Annual test volume the lab reported
- Waived tests
- 15
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Blue Ridge Fire Department in Happy Jack?
03D1033456, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blue Ridge Fire Department hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1033456 expire?
The CMS file lists November 8, 2026 as the certificate expiration date; the certificate took effect November 9, 2024.