23D0867421 CLIA NUMBER - SAGINAW CHIPPEWA INDIAN TRIBE NIMKEE MEMORIAL WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 23D0867421
  • Facility Name: SAGINAW CHIPPEWA INDIAN TRIBE NIMKEE MEMORIAL WELLNESS CENTER
  • Facility Address: 2591 SOUTH LEATON ROAD NIMKEE MEMORIAL WELLNESS CENTER
    MOUNT PLEASANT, MI
    ZIP 48858
  • Facility Phone: 989 775-4618
  • Facility Type: Other - TRIBAL SATELITE CLINIC
  • Facility Type: Waiver
  • Lab Director: DEBORAH L. EISENMANN
  • NPI Number: 1013041698
  • Taxonomy: 101YM0800X - Counselor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0867421
LAB Type Other - TRIBAL SATELITE CLINIC
Facility Name SAGINAW CHIPPEWA INDIAN TRIBE NIMKEE MEMORIAL WELLNESS CENTER
Street 2591 SOUTH LEATON ROAD NIMKEE MEMORIAL WELLNESS CENTER
City MOUNT PLEASANT
State MI
ZIP 48858
Phone 989 775-4618
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 Other - TRIBAL SATELITE CLINIC
Lab Director DEBORAH L. EISENMANN

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