23D1041801 CLIA NUMBER - RAISIN TOWNSHIP FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 23D1041801

Facility Name: RAISIN TOWNSHIP FIRE DEPARTMENT

Facility Address:
5525 OCCIDENTAL HIGHWAY
TECUMSEH, MI
ZIP 49286
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Facility Phone Number: 517 423-7811

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1326154162

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	23D1041801
LAB Type	Ambulance
Facility Name	RAISIN TOWNSHIP FIRE DEPARTMENT
Street	5525 OCCIDENTAL HIGHWAY
City	TECUMSEH
State	MI
ZIP	49286
Phone	517 423-7811
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