23D0037979 CLIA NUMBER - MUNSON MEDICAL CENTER LABORATORIES

Laboratory Demographics

CLIA Number: 23D0037979

Facility Name: MUNSON MEDICAL CENTER LABORATORIES

Facility Address:
1105 SIXTH STREET
TRAVERSE CITY, MI
ZIP 49684
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Facility Phone Number: 231 935-6100

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1659741908

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	23D0037979
LAB Type	Hospital
Facility Name	MUNSON MEDICAL CENTER LABORATORIES
Street	1105 SIXTH STREET
City	TRAVERSE CITY
State	MI
ZIP	49684
Phone	231 935-6100
CertificateType	1
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024