23D1044890 CLIA NUMBER - CASTLETON MAPLE GROVE NASHVILLE AMBULANCE

Laboratory Demographics

  • CLIA Code: 23D1044890
  • Facility Name: CASTLETON MAPLE GROVE NASHVILLE AMBULANCE
  • Facility Address: 330 N MAIN STREET
    NASHVILLE, MI
    ZIP 49073
  • Facility Phone: 517 852-9385
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: W MEL OAKLEY III
  • NPI Number: 1114004892
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 23D1044890
LAB Type Ambulance
Facility Name CASTLETON MAPLE GROVE NASHVILLE AMBULANCE
Street 330 N MAIN STREET
City NASHVILLE
State MI
ZIP 49073
Phone 517 852-9385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Ambulance
Lab Director W MEL OAKLEY III

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