23D0914660 CLIA NUMBER - LITTLE TRAVERSE PRIMARY CARE P C

Laboratory Demographics

CLIA Number: 23D0914660

Facility Name: LITTLE TRAVERSE PRIMARY CARE P C

Facility Address:
8881 M-119
HARBOR SPRINGS, MI
ZIP 49740
Get Directions

Facility Phone Number: 231 347-5400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477509453

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	23D0914660
LAB Type	Physician Office
Facility Name	LITTLE TRAVERSE PRIMARY CARE P C
Street	8881 M-119
City	HARBOR SPRINGS
State	MI
ZIP	49740
Phone	231 347-5400
CertificateType	4
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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