23D0680126 CLIA NUMBER - MUNSON HEALTHCARE CEDARWOODS INTERNAL & GERIATRIC MEDICINE

Laboratory Demographics

CLIA Number: 23D0680126

Facility Name: MUNSON HEALTHCARE CEDARWOODS INTERNAL & GERIATRIC MEDICINE

Facility Address:
5041 N ROYAL DRIVE
TRAVERSE CITY, MI
ZIP 49684
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Facility Phone Number: 231 935-0600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972367043

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	23D0680126
LAB Type	Physician Office
Facility Name	MUNSON HEALTHCARE CEDARWOODS INTERNAL & GERIATRIC MEDICINE
Street	5041 N ROYAL DRIVE
City	TRAVERSE CITY
State	MI
ZIP	49684
Phone	231 935-0600
CertificateType	4
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024