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23D1069080 CLIA NUMBER - THREE OAKS EMERGENCY VEHICLE ASSOCIATION

Laboratory Demographics

CLIA Number: 23D1069080

Facility Name: THREE OAKS EMERGENCY VEHICLE ASSOCIATION

Facility Address:
21 S ELM STREET
THREE OAKS, MI
ZIP 49128
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Facility Phone Number: 269 756-9818

Facility Type: Ambulance

Certificate Type: Waiver
NPI Number: 1417054925

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 23D1069080
LAB Type Ambulance
Facility Name THREE OAKS EMERGENCY VEHICLE ASSOCIATION
Street 21 S ELM STREET
City THREE OAKS
State MI
ZIP 49128
Phone 269 756-9818
CertificateType 4
CertificateEffectiveDate 5/29/2023
CertificateExpirationDate 5/28/2025
FacilityType Waiver

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