23D1048525 CLIA NUMBER - STAR AMBULANCE

Laboratory Demographics

  • CLIA Code: 23D1048525
  • Facility Name: STAR AMBULANCE
  • Facility Address: W 9105 7TH AVENUE
    CHANNING, MI
    ZIP 49815
  • Facility Phone: 906 221-7718
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CORY M. ROELL
  • NPI Number: 1114915253
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 23D1048525
LAB Type Ambulance
Facility Name STAR AMBULANCE
Street W 9105 7TH AVENUE
City CHANNING
State MI
ZIP 49815
Phone 906 221-7718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Ambulance
Lab Director CORY M. ROELL

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