23D2030716 CLIA NUMBER - SPRING LAKE TOWNSHIP FIRE DEPARTMENT

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Laboratory Demographics

CLIA Number: 23D2030716

Facility Name: SPRING LAKE TOWNSHIP FIRE DEPARTMENT

Facility Address:
106 S BUCHANAN
SPRING LAKE, MI
ZIP 49456
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Facility Phone Number: 616 844-0491

Facility Type: Other - FIRE DEPARTMENT

Certificate Type: Waiver

NPI Number: 1396136271

Taxonomy: 261QD0000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2030716
LAB Type	Other - FIRE DEPARTMENT
Facility Name	SPRING LAKE TOWNSHIP FIRE DEPARTMENT
Street	106 S BUCHANAN
City	SPRING LAKE
State	MI
ZIP	49456
Phone	616 844-0491
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

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