23D0911673 CLIA NUMBER - MONTCALM COUNTY EMERGENCY SERVICES

Laboratory Demographics

  • CLIA Code: 23D0911673
  • Facility Name: MONTCALM COUNTY EMERGENCY SERVICES
  • Facility Address: 655 N STATE STREET
    STANTON, MI
    ZIP 48888
  • Facility Phone: 989 831-7580
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JERRY W. MCCOY
  • NPI Number: 1497790109
  • Taxonomy: 3416L0300X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Practitioner Other
Lab Director JERRY W. MCCOY

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