23D0872190 CLIA NUMBER - COVENANT HEALTH CARE MACKINAW

Laboratory Demographics

  • CLIA Code: 23D0872190
  • Facility Name: COVENANT HEALTH CARE MACKINAW
  • Facility Address: 5400 MACKINAW ROAD
    SAGINAW, MI
    ZIP 48604
  • Facility Phone: 989 583-6768
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. SHANE STARR
  • NPI Number: 1124779061
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 23D0872190
LAB Type Ambulatory Surgery Center
Facility Name COVENANT HEALTH CARE MACKINAW
Street 5400 MACKINAW ROAD
City SAGINAW
State MI
ZIP 48604
Phone 989 583-6768
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. SHANE STARR

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