23D0381527 CLIA NUMBER - INTERNAL MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 23D0381527
  • Facility Name: INTERNAL MEDICINE CLINIC
  • Facility Address: 105 ARBOR LANE
    ALPENA, MI
    ZIP 49707
  • Facility Phone: 989 356-3485
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANUEL R. CHAVARRI MD
  • NPI Number: 1124011127
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0381527
LAB Type Physician Office
Facility Name INTERNAL MEDICINE CLINIC
Street 105 ARBOR LANE
City ALPENA
State MI
ZIP 49707
Phone 989 356-3485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director MANUEL R. CHAVARRI MD

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