23D0914660 CLIA NUMBER - LITTLE TRAVERSE PRIMARY CARE P C

Laboratory Demographics

  • CLIA Code: 23D0914660
  • Facility Name: LITTLE TRAVERSE PRIMARY CARE P C
  • Facility Address: 8881 M-119
    HARBOR SPRINGS, MI
    ZIP 49740
  • Facility Phone: 231 347-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENT E. SCHULTZ
  • NPI Number: 1477509453
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director VINCENT E. SCHULTZ

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