23D0938059 CLIA NUMBER - MARSHFIELD MEDICAL CENTER - DICKINSON, PRIMARY CARE CENTER

Laboratory Demographics

  • CLIA Code: 23D0938059
  • Facility Name: MARSHFIELD MEDICAL CENTER - DICKINSON, PRIMARY CARE CENTER
  • Facility Address: 1711 S STEPHENSON AVENUE SUITE 210
    IRON MOUNTAIN, MI
    ZIP 49801
  • Facility Phone: 906 776-5800
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KELLI BASHYNSKI
  • NPI Number: 1649578808
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 23D0938059
LAB Type Rural Health Clinic
Facility Name MARSHFIELD MEDICAL CENTER - DICKINSON, PRIMARY CARE CENTER
Street 1711 S STEPHENSON AVENUE SUITE 210
City IRON MOUNTAIN
State MI
ZIP 49801
Phone 906 776-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Rural Health Clinic
Lab Director KELLI BASHYNSKI

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