23D1041799 CLIA NUMBER - THREE RIVERS FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 23D1041799

Facility Name: THREE RIVERS FIRE DEPARTMENT

Facility Address:
333 W MICHIGAN AVE
THREE RIVERS, MI
ZIP 49093
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Facility Phone Number: 269 278-3755

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1508840596

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1041799
LAB Type	Ambulance
Facility Name	THREE RIVERS FIRE DEPARTMENT
Street	333 W MICHIGAN AVE
City	THREE RIVERS
State	MI
ZIP	49093
Phone	269 278-3755
CertificateType	4
CertificateEffectiveDate	6/13/2023
CertificateExpirationDate	6/12/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024