23D1044930 CLIA NUMBER - MECOSTA COUNTY EMS

Laboratory Demographics

CLIA Number: 23D1044930

Facility Name: MECOSTA COUNTY EMS

Facility Address:
14485 NORTHLAND DRIVE
BIG RAPIDS, MI
ZIP 49307
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Facility Phone Number: 231 796-2626

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1558453845

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	23D1044930
LAB Type	Ambulance
Facility Name	MECOSTA COUNTY EMS
Street	14485 NORTHLAND DRIVE
City	BIG RAPIDS
State	MI
ZIP	49307
Phone	231 796-2626
CertificateType	4
CertificateEffectiveDate	9/1/2023
CertificateExpirationDate	8/31/2025
FacilityType	Waiver

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