23D0693429 CLIA NUMBER - LIFE EMS INC

Laboratory Demographics

CLIA Number: 23D0693429

Facility Name: LIFE EMS INC

Facility Address:
1275 CEDAR NE
GRAND RAPIDS, MI
ZIP 49503
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Facility Phone Number: 616 458-0042

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1578510764

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	23D0693429
LAB Type	Other
Facility Name	LIFE EMS INC
Street	1275 CEDAR NE
City	GRAND RAPIDS
State	MI
ZIP	49503
Phone	616 458-0042
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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