23D1094780 CLIA NUMBER - GROSSE ILE FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 23D1094780

Facility Name: GROSSE ILE FIRE DEPARTMENT

Facility Address:
24525 MERIDIAN ROAD
GROSSE ILE, MI
ZIP 48138
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Facility Phone Number: 734 676-7157

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1821107046

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	23D1094780
LAB Type	Ambulance
Facility Name	GROSSE ILE FIRE DEPARTMENT
Street	24525 MERIDIAN ROAD
City	GROSSE ILE
State	MI
ZIP	48138
Phone	734 676-7157
CertificateType	4
CertificateEffectiveDate	1/27/2023
CertificateExpirationDate	1/26/2025
FacilityType	Waiver

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