23D1040618 CLIA NUMBER - ELMWOOD TWP FIRE RESCUE

Laboratory Demographics

  • CLIA Code: 23D1040618
  • Facility Name: ELMWOOD TWP FIRE RESCUE
  • Facility Address: 10090 E LINCOLN ROAD
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: 231 941-1647
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KEITH TAMPA
  • NPI Number: 1467904565
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D1040618
LAB Type Ambulance
Facility Name ELMWOOD TWP FIRE RESCUE
Street 10090 E LINCOLN ROAD
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 941-1647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Ambulance
Lab Director KEITH TAMPA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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