23D1069688 CLIA NUMBER - DEARBORN FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 23D1069688
  • Facility Name: DEARBORN FIRE DEPARTMENT
  • Facility Address: 3750 GREENFIELD ROAD
    DEARBORN, MI
    ZIP 48120
  • Facility Phone: 313 943-2016
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DONALD BEGEMAN
  • NPI Number: 1871047795
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1069688
LAB Type Ambulance
Facility Name DEARBORN FIRE DEPARTMENT
Street 3750 GREENFIELD ROAD
City DEARBORN
State MI
ZIP 48120
Phone 313 943-2016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Ambulance
Lab Director DONALD BEGEMAN

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