23D0381456 CLIA NUMBER - THIRLBY CLINIC LABORATORY

Laboratory Demographics

  • CLIA Code: 23D0381456
  • Facility Name: THIRLBY CLINIC LABORATORY
  • Facility Address: 4110 COPPER RIDGE DRIVE SUITE 100
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: 231 935-8936
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ANDREW ADAMS
  • NPI Number: 1780676684
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0381456
LAB Type Physician Office
Facility Name THIRLBY CLINIC LABORATORY
Street 4110 COPPER RIDGE DRIVE SUITE 100
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 935-8936
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director ANDREW ADAMS

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