23D0382367 CLIA NUMBER - ASPIRUS HOUGHTON CLINIC LABORATORY

Laboratory Demographics

  • CLIA Code: 23D0382367
  • Facility Name: ASPIRUS HOUGHTON CLINIC LABORATORY
  • Facility Address: 1000 CEDAR STREET
    HOUGHTON, MI
    ZIP 49931
  • Facility Phone: 906 487-1710
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: PETIO KOTOV
  • NPI Number: 1215092572
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0382367
LAB Type Rural Health Clinic
Facility Name ASPIRUS HOUGHTON CLINIC LABORATORY
Street 1000 CEDAR STREET
City HOUGHTON
State MI
ZIP 49931
Phone 906 487-1710
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Rural Health Clinic
Lab Director PETIO KOTOV

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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