23D2084343 CLIA NUMBER - EMMET COUNTY EMS

Laboratory Demographics

  • CLIA Code: 23D2084343
  • Facility Name: EMMET COUNTY EMS
  • Facility Address: 200 DIVISION
    PETOSKEY, MI
    ZIP 49770
  • Facility Phone: 231 348-1701
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARTIN J. KRUPA
  • NPI Number: 1619378031
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2084343
LAB Type Ambulance
Facility Name EMMET COUNTY EMS
Street 200 DIVISION
City PETOSKEY
State MI
ZIP 49770
Phone 231 348-1701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Ambulance
Lab Director MARTIN J. KRUPA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025