23D0923772 CLIA NUMBER - MUNSON HEALTHCARE GRAYLING DBA MUNSON HEALTHCARE PRUDENVILLE COMM HEALTH CTR

Laboratory Demographics

  • CLIA Code: 23D0923772
  • Facility Name: MUNSON HEALTHCARE GRAYLING DBA MUNSON HEALTHCARE PRUDENVILLE COMM HEALTH CTR
  • Facility Address: 2585 WEST HOUGHTON LAKE DRIVE
    PRUDENVILLE, MI
    ZIP 48651
  • Facility Phone: 989 366-2900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CARL SCHUBERT
  • NPI Number: 1952787129
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0923772
LAB Type Physician Office
Facility Name MUNSON HEALTHCARE GRAYLING DBA MUNSON HEALTHCARE PRUDENVILLE COMM HEALTH CTR
Street 2585 WEST HOUGHTON LAKE DRIVE
City PRUDENVILLE
State MI
ZIP 48651
Phone 989 366-2900
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 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director CARL SCHUBERT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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