23D1048525 CLIA NUMBER - STAR AMBULANCE

Laboratory Demographics

CLIA Number: 23D1048525

Facility Name: STAR AMBULANCE

Facility Address:
W 9105 7TH AVENUE
CHANNING, MI
ZIP 49815
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Facility Phone Number: 906 221-7718

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1114915253

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

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
CertificateType	4
CertificateEffectiveDate	12/7/2022
CertificateExpirationDate	12/6/2024
FacilityType	Waiver

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