23D1040197 CLIA NUMBER - NORTHEAST INGHAM EMERGENCY SERVICE AUTHORITY WILLIAMSTON FIRE STATION

Laboratory Demographics

  • CLIA Code: 23D1040197
  • Facility Name: NORTHEAST INGHAM EMERGENCY SERVICE AUTHORITY WILLIAMSTON FIRE STATION
  • Facility Address: 1296 W GRAND RIVER AVENUE
    WILLIAMSTON, MI
    ZIP 48895
  • Facility Phone: 517 655-1383
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JAMIE R. JANSON
  • NPI Number: 1447428313
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 23D1040197
LAB Type Ambulance
Facility Name NORTHEAST INGHAM EMERGENCY SERVICE AUTHORITY WILLIAMSTON FIRE STATION
Street 1296 W GRAND RIVER AVENUE
City WILLIAMSTON
State MI
ZIP 48895
Phone 517 655-1383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Ambulance
Lab Director JAMIE R. JANSON

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