23D1047504 CLIA NUMBER - EAST BAY AMBULANCE

Laboratory Demographics

  • CLIA Code: 23D1047504
  • Facility Name: EAST BAY AMBULANCE
  • Facility Address: 110 HIGH LAKE ROAD
    TRAVERSE CITY, MI
    ZIP 49686
  • Facility Phone: 231 947-0299
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: TIM NEWTON
  • NPI Number: 1306997598
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 23D1047504
LAB Type Federally Qualified Health Center
Facility Name EAST BAY AMBULANCE
Street 110 HIGH LAKE ROAD
City TRAVERSE CITY
State MI
ZIP 49686
Phone 231 947-0299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Federally Qualified Health Center
Lab Director TIM NEWTON

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