23D0946719 CLIA NUMBER - PETOSKEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D0946719
  • Facility Name: PETOSKEY PEDIATRICS
  • Facility Address: 345 DIVISION ROAD
    PETOSKEY, MI
    ZIP 49770
  • Facility Phone: 231 347-8382
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENNIS E. MC GEATH MD
  • NPI Number: 1184721318
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0946719
LAB Type Physician Office
Facility Name PETOSKEY PEDIATRICS
Street 345 DIVISION ROAD
City PETOSKEY
State MI
ZIP 49770
Phone 231 347-8382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Physician Office
Lab Director DENNIS E. MC GEATH MD

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