23D0381295 CLIA NUMBER - GRAND TRAVERSE INTERNISTS P C

Laboratory Demographics

  • CLIA Code: 23D0381295
  • Facility Name: GRAND TRAVERSE INTERNISTS P C
  • Facility Address: 5015 N ROYAL DRIVE
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: (231) 935-0850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH L. HUGHES
  • NPI Number: 1578559365
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0381295
LAB Type Physician Office
Facility Name GRAND TRAVERSE INTERNISTS P C
Street 5015 N ROYAL DRIVE
City TRAVERSE CITY
State MI
ZIP 49684
Phone 2319350850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2026
Certificate Expiration Date 1/31/2028
Facility Type Physician Office
Lab Director ELIZABETH L. HUGHES

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This page was last updated on: 5/18/2026