23D1045540 CLIA NUMBER - OVID MIDDLEBURY EMERGENCY SERVICES

Laboratory Demographics

CLIA Number: 23D1045540

Facility Name: OVID MIDDLEBURY EMERGENCY SERVICES

Facility Address:
114 E FRONT STREET
OVID, MI
ZIP 48866
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Facility Phone Number: 989 834-5707

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1467481259

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	23D1045540
LAB Type	Ambulance
Facility Name	OVID MIDDLEBURY EMERGENCY SERVICES
Street	114 E FRONT STREET
City	OVID
State	MI
ZIP	48866
Phone	989 834-5707
CertificateType	4
CertificateEffectiveDate	9/16/2023
CertificateExpirationDate	9/15/2025
FacilityType	Waiver

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