23D0893773 CLIA NUMBER - KALKASKA MEMORIAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 23D0893773
  • Facility Name: KALKASKA MEMORIAL HEALTH CENTER
  • Facility Address: 419 W STATE STREET
    MANCELONA, MI
    ZIP 49659
  • Facility Phone: 231 258-3620
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: EDEN ELFRINK
  • NPI Number: 1891809349
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0893773
LAB Type Rural Health Clinic
Facility Name KALKASKA MEMORIAL HEALTH CENTER
Street 419 W STATE STREET
City MANCELONA
State MI
ZIP 49659
Phone 231 258-3620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Rural Health Clinic
Lab Director EDEN ELFRINK

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