23D0896896 CLIA NUMBER - ASCENSION ST JOSEPH HOSPITAL WOMEN'S CENTER

Laboratory Demographics

CLIA Number: 23D0896896

Facility Name: ASCENSION ST JOSEPH HOSPITAL WOMEN'S CENTER

Facility Address:
25 EAST M-55
TAWAS CITY, MI
ZIP 48763
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Facility Phone Number: 989 362-2540

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1679561468

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0896896
LAB Type	Physician Office
Facility Name	ASCENSION ST JOSEPH HOSPITAL WOMEN'S CENTER
Street	25 EAST M-55
City	TAWAS CITY
State	MI
ZIP	48763
Phone	989 362-2540
CertificateType	3
CertificateEffectiveDate	1/24/2023
CertificateExpirationDate	1/23/2025
FacilityType	PPMP

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