23D0710670 CLIA NUMBER - GOGEBIC MEDICAL CARE FACILITY

Laboratory Demographics

  • CLIA Code: 23D0710670
  • Facility Name: GOGEBIC MEDICAL CARE FACILITY
  • Facility Address: 402 NORTH STREET
    WAKEFIELD, MI
    ZIP 49968
  • Facility Phone: 906 224-9811
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHY RUOTSALA
  • NPI Number: 1609869841
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0710670
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOGEBIC MEDICAL CARE FACILITY
Street 402 NORTH STREET
City WAKEFIELD
State MI
ZIP 49968
Phone 906 224-9811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KATHY RUOTSALA

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