23D1068497 CLIA NUMBER - WAYNE COUNTY AIRPORT AUTHORITY FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 23D1068497
  • Facility Name: WAYNE COUNTY AIRPORT AUTHORITY FIRE DEPARTMENT
  • Facility Address: WEST SERVICE DRIVE BLDG 509
    DETROIT, MI
    ZIP 48242
  • Facility Phone: 734 942-3602
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GLENN O SUCH
  • NPI Number: 1194769828
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 23D1068497
LAB Type Ambulance
Facility Name WAYNE COUNTY AIRPORT AUTHORITY FIRE DEPARTMENT
Street WEST SERVICE DRIVE BLDG 509
City DETROIT
State MI
ZIP 48242
Phone 734 942-3602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Ambulance
Lab Director GLENN O SUCH

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