23D0911673 CLIA NUMBER - MONTCALM COUNTY EMERGENCY SERVICES

Laboratory Demographics

CLIA Number: 23D0911673

Facility Name: MONTCALM COUNTY EMERGENCY SERVICES

Facility Address:
655 N STATE STREET
STANTON, MI
ZIP 48888
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Facility Phone Number: 989 831-7580

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1497790109

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	23D0911673
LAB Type	Practitioner Other
Facility Name	MONTCALM COUNTY EMERGENCY SERVICES
Street	655 N STATE STREET
City	STANTON
State	MI
ZIP	48888
Phone	989 831-7580
CertificateType	4
CertificateEffectiveDate	2/13/2024
CertificateExpirationDate	2/12/2026
FacilityType	Waiver

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