23D1082873 CLIA NUMBER - CITY OF WAYNE FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 23D1082873

Facility Name: CITY OF WAYNE FIRE DEPARTMENT

Facility Address:
3300 S WAYNE ROAD
WAYNE, MI
ZIP 48184
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Facility Phone Number: 734 722-1111

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1326086794

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	23D1082873
LAB Type	Ambulance
Facility Name	CITY OF WAYNE FIRE DEPARTMENT
Street	3300 S WAYNE ROAD
City	WAYNE
State	MI
ZIP	48184
Phone	734 722-1111
CertificateType	4
CertificateEffectiveDate	4/22/2024
CertificateExpirationDate	4/21/2026
FacilityType	Waiver

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