23D1017870 CLIA NUMBER - FREDERIC TWP FIRE DEPT

Laboratory Demographics

  • CLIA Code: 23D1017870
  • Facility Name: FREDERIC TWP FIRE DEPT
  • Facility Address: 6547 FREDERIC STREET P O BOX 79
    FREDERIC, MI
    ZIP 49733
  • Facility Phone: 989 348-8190
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DOUGLAS J. PRATT
  • NPI Number: 1831117100
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 23D1017870
LAB Type Federally Qualified Health Center
Facility Name FREDERIC TWP FIRE DEPT
Street 6547 FREDERIC STREET P O BOX 79
City FREDERIC
State MI
ZIP 49733
Phone 989 348-8190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2023
Certificate Expiration Date 10/6/2025
Facility Type Federally Qualified Health Center
Lab Director DOUGLAS J. PRATT

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