23D2122254 CLIA NUMBER - COMMUNITY EMERGENCY SERVICES DBA MEDIC 1 AMBULANCE

Laboratory Demographics

  • CLIA Code: 23D2122254
  • Facility Name: COMMUNITY EMERGENCY SERVICES DBA MEDIC 1 AMBULANCE
  • Facility Address: 635 E NAPIER AVENUE
    BENTON HARBOR, MI
    ZIP 49023
  • Facility Phone: 269 925-2141
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JACK FISHER
  • NPI Number: 1619932415
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 23D2122254
LAB Type Ambulance
Facility Name COMMUNITY EMERGENCY SERVICES DBA MEDIC 1 AMBULANCE
Street 635 E NAPIER AVENUE
City BENTON HARBOR
State MI
ZIP 49023
Phone 269 925-2141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Ambulance
Lab Director JACK FISHER

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