23D1061990 CLIA NUMBER - MANISTIQUE EMS

Laboratory Demographics

  • CLIA Code: 23D1061990
  • Facility Name: MANISTIQUE EMS
  • Facility Address: 300 N MAPLE STREET
    MANISTIQUE, MI
    ZIP 49854
  • Facility Phone: 906 341-2134
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KYLE L. LEVIN
  • NPI Number: 1093980955
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 23D1061990
LAB Type Ambulance
Facility Name MANISTIQUE EMS
Street 300 N MAPLE STREET
City MANISTIQUE
State MI
ZIP 49854
Phone 906 341-2134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Ambulance
Lab Director KYLE L. LEVIN

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