23D1047885 CLIA NUMBER - COLUMBIA TOWNSHIP FIRE DEPT

Laboratory Demographics

  • CLIA Code: 23D1047885
  • Facility Name: COLUMBIA TOWNSHIP FIRE DEPT
  • Facility Address: 8500 JEFFERSON ROAD
    BROOKLYN, MI
    ZIP 49230
  • Facility Phone: 517 592-8654
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SCOTT A. COTA
  • NPI Number: 1649393331
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1047885
LAB Type Ambulance
Facility Name COLUMBIA TOWNSHIP FIRE DEPT
Street 8500 JEFFERSON ROAD
City BROOKLYN
State MI
ZIP 49230
Phone 517 592-8654
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Ambulance
Lab Director SCOTT A. COTA

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