23D2139169 CLIA NUMBER - LIFELINE CONCORD LLC

Laboratory Demographics

  • CLIA Code: 23D2139169
  • Facility Name: LIFELINE CONCORD LLC
  • Facility Address: 1340 JOHN A PAPALAS DRIVE
    LINCOLN PARK, MI
    ZIP 48146
  • Facility Phone: 313 384-9400
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: AARON D. CARIGNAN
  • NPI Number: 1871740977
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 23D2139169
LAB Type Ambulance
Facility Name LIFELINE CONCORD LLC
Street 1340 JOHN A PAPALAS DRIVE
City LINCOLN PARK
State MI
ZIP 48146
Phone 313 384-9400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Ambulance
Lab Director AARON D. CARIGNAN

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