23D0669381 CLIA NUMBER - SPRING STREET FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 23D0669381
  • Facility Name: SPRING STREET FAMILY PRACTICE
  • Facility Address: 1207 N SPRING STREET
    GLADWIN, MI
    ZIP 48624
  • Facility Phone: 989 426-5590
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHERYL LOUBERT
  • NPI Number: 1083790026
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0669381
LAB Type Physician Office
Facility Name SPRING STREET FAMILY PRACTICE
Street 1207 N SPRING STREET
City GLADWIN
State MI
ZIP 48624
Phone 989 426-5590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Physician Office
Lab Director CHERYL LOUBERT

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