23D1041483 CLIA NUMBER - ADRIAN FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 23D1041483

Facility Name: ADRIAN FIRE DEPARTMENT

Facility Address:
208 S MAIN STREET
ADRIAN, MI
ZIP 49221
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Facility Phone Number: 517 264-4856

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1740621846

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	23D1041483
LAB Type	Other
Facility Name	ADRIAN FIRE DEPARTMENT
Street	208 S MAIN STREET
City	ADRIAN
State	MI
ZIP	49221
Phone	517 264-4856
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