23D1013321 CLIA NUMBER - COLDSPRINGS EXCELSIOR FIRE & RESCUE

Laboratory Demographics

CLIA Number: 23D1013321

Facility Name: COLDSPRINGS EXCELSIOR FIRE & RESCUE

Facility Address:
6565 COUNTY ROAD 612 NE
KALKASKA, MI
ZIP 49646
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Facility Phone Number: 231 258-2107

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1003837014

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name Field Value
CLIA Number 23D1013321
LAB Type Ambulance
Facility Name COLDSPRINGS EXCELSIOR FIRE & RESCUE
Street 6565 COUNTY ROAD 612 NE
City KALKASKA
State MI
ZIP 49646
Phone 231 258-2107
CertificateType 4
CertificateEffectiveDate 6/6/2023
CertificateExpirationDate 6/5/2025
FacilityType Waiver

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