23D2203968 CLIA NUMBER - PRESQUE ISLE TOWNSHIP FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 23D2203968
  • Facility Name: PRESQUE ISLE TOWNSHIP FIRE DEPARTMENT
  • Facility Address: 24335 U S 23
    PRESQUE ISLE, MI
    ZIP 49777
  • Facility Phone: 989 595-3423
  • Facility Type: Other - FIRST RESPONDER
  • Facility Type: Waiver
  • Lab Director: TAMMY FORBUSH
  • NPI Number: 1518733062
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 23D2203968
LAB Type Other - FIRST RESPONDER
Facility Name PRESQUE ISLE TOWNSHIP FIRE DEPARTMENT
Street 24335 U S 23
City PRESQUE ISLE
State MI
ZIP 49777
Phone 989 595-3423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Other - FIRST RESPONDER
Lab Director TAMMY FORBUSH

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