42D2285183 CLIA NUMBER - NORTHSTAR INDUSTRIAL EMS & FIRE SERVICES INC MERCEDES BENZ VANS

Laboratory Demographics

  • CLIA Code: 42D2285183
  • Facility Name: NORTHSTAR INDUSTRIAL EMS & FIRE SERVICES INC MERCEDES BENZ VANS
  • Facility Address: 8501 PALMETTO COMMERCE PA
    LADSON, SC
    ZIP 29456
  • Facility Phone: 205 247-4748
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: JON SMELLEY
  • NPI Number: 1407186232
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2285183
LAB Type Industrial
Facility Name NORTHSTAR INDUSTRIAL EMS & FIRE SERVICES INC MERCEDES BENZ VANS
Street 8501 PALMETTO COMMERCE PA
City LADSON
State SC
ZIP 29456
Phone 205 247-4748
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Industrial
Lab Director JON SMELLEY

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