23D0907085 CLIA NUMBER - NORTHWESTERN MICHIGAN COLLEGE STUDENT HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 23D0907085
  • Facility Name: NORTHWESTERN MICHIGAN COLLEGE STUDENT HEALTH SERVICES
  • Facility Address: 1701 E FRONT STREET LB 106
    TRAVERSE CITY, MI
    ZIP 49686
  • Facility Phone: 231 995-1255
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: DAVID B. MAY
  • NPI Number: 1700033859
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0907085
LAB Type School/Student Health Service
Facility Name NORTHWESTERN MICHIGAN COLLEGE STUDENT HEALTH SERVICES
Street 1701 E FRONT STREET LB 106
City TRAVERSE CITY
State MI
ZIP 49686
Phone 231 995-1255
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type School/Student Health Service
Lab Director DAVID B. MAY

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