23D1013321 CLIA NUMBER - COLDSPRINGS EXCELSIOR FIRE & RESCUE

Laboratory Demographics

  • CLIA Code: 23D1013321
  • Facility Name: COLDSPRINGS EXCELSIOR FIRE & RESCUE
  • Facility Address: 6565 COUNTY ROAD 612 NE
    KALKASKA, MI
    ZIP 49646
  • Facility Phone: 231 258-2107
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: EUGENE HEADLEY
  • NPI Number: 1003837014
  • Taxonomy: 341600000X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Ambulance
Lab Director EUGENE HEADLEY

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This page was last updated on: 6/4/2025