23D1106569 CLIA NUMBER - PORT HURON FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 23D1106569
  • Facility Name: PORT HURON FIRE DEPARTMENT
  • Facility Address: 100 MC MORRAN SUITE 426
    PORT HURON, MI
    ZIP 48060
  • Facility Phone: 810 984-9752
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: COREY J. NICHOLSON
  • NPI Number: 1437609781
  • Taxonomy: 364SF0001X - Clinical Nurse Specialist

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CLIA Record

Field Name Field Value
CLIA Number 23D1106569
LAB Type Ambulance
Facility Name PORT HURON FIRE DEPARTMENT
Street 100 MC MORRAN SUITE 426
City PORT HURON
State MI
ZIP 48060
Phone 810 984-9752
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Ambulance
Lab Director COREY J. NICHOLSON

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