23D1065432 CLIA NUMBER - ALLENDALE CHARTER TOWNSHIP FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 23D1065432
  • Facility Name: ALLENDALE CHARTER TOWNSHIP FIRE DEPARTMENT
  • Facility Address: 6676 LAKE MICHIGAN DRIVE
    ALLENDALE, MI
    ZIP 49401
  • Facility Phone: 616 895-4544
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: FRED E. LANGELAND
  • NPI Number: 1386633675
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1065432
LAB Type Ambulance
Facility Name ALLENDALE CHARTER TOWNSHIP FIRE DEPARTMENT
Street 6676 LAKE MICHIGAN DRIVE
City ALLENDALE
State MI
ZIP 49401
Phone 616 895-4544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Ambulance
Lab Director FRED E. LANGELAND

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