23D1047037 CLIA NUMBER - LEELANAU TOWNSHIP FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 23D1047037

Facility Name: LEELANAU TOWNSHIP FIRE DEPARTMENT

Facility Address:
100 8TH STREET
NORTHPORT, MI
ZIP 49670
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Facility Phone Number: 231 386-9073

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1528064466

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	23D1047037
LAB Type	Ambulance
Facility Name	LEELANAU TOWNSHIP FIRE DEPARTMENT
Street	100 8TH STREET
City	NORTHPORT
State	MI
ZIP	49670
Phone	231 386-9073
CertificateType	4
CertificateEffectiveDate	10/25/2023
CertificateExpirationDate	10/24/2025
FacilityType	Waiver

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