23D0891959 CLIA NUMBER - AMERICAN MEDICAL RESPONSE

Laboratory Demographics

  • CLIA Code: 23D0891959
  • Facility Name: AMERICAN MEDICAL RESPONSE
  • Facility Address: 517 S DIVISION AVENUE
    GRAND RAPIDS, MI
    ZIP 49503
  • Facility Phone: 616 482-6600
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PATRICK B. LICKISS
  • NPI Number: 1881627503
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 23D0891959
LAB Type Ambulance
Facility Name AMERICAN MEDICAL RESPONSE
Street 517 S DIVISION AVENUE
City GRAND RAPIDS
State MI
ZIP 49503
Phone 616 482-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Ambulance
Lab Director PATRICK B. LICKISS

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