23D1044892 CLIA NUMBER - OTSEGO COUNTY EMS RESCUE

Laboratory Demographics

  • CLIA Code: 23D1044892
  • Facility Name: OTSEGO COUNTY EMS RESCUE
  • Facility Address: 100 MCLOUTH ROAD
    GAYLORD, MI
    ZIP 49735
  • Facility Phone: 989 732-9085
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JON R. DEMING
  • NPI Number: 1205832656
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 23D1044892
LAB Type Ambulance
Facility Name OTSEGO COUNTY EMS RESCUE
Street 100 MCLOUTH ROAD
City GAYLORD
State MI
ZIP 49735
Phone 989 732-9085
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 JON R. DEMING

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