23D0925031 CLIA NUMBER - MUNSON HEALTHCARE BOYNE AREA HEALTH CENTER

Laboratory Demographics

CLIA Number: 23D0925031

Facility Name: MUNSON HEALTHCARE BOYNE AREA HEALTH CENTER

Facility Address:
223 NORTH PARK
BOYNE CITY, MI
ZIP 49712
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Facility Phone Number: 231 582-5314

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1255779484

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D0925031
LAB Type	Physician Office
Facility Name	MUNSON HEALTHCARE BOYNE AREA HEALTH CENTER
Street	223 NORTH PARK
City	BOYNE CITY
State	MI
ZIP	49712
Phone	231 582-5314
CertificateType	3
CertificateEffectiveDate	2/14/2023
CertificateExpirationDate	2/13/2025
FacilityType	PPMP

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