23D0381664 CLIA NUMBER - DONALD P COUSINEAU DO

Laboratory Demographics

  • CLIA Code: 23D0381664
  • Facility Name: DONALD P COUSINEAU DO
  • Facility Address: 994 NORTH CENTER AVE
    GAYLORD, MI
    ZIP 49735
  • Facility Phone: 989 732-3450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD P. COUSINEAU
  • NPI Number: 1003872979
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0381664
LAB Type Physician Office
Facility Name DONALD P COUSINEAU DO
Street 994 NORTH CENTER AVE
City GAYLORD
State MI
ZIP 49735
Phone 989 732-3450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director DONALD P. COUSINEAU

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