23D0964215 CLIA NUMBER - MCLAREN NORTHERN MICHIGAN MEDCENTER-PETOSKEY SOUTH

Laboratory Demographics

  • CLIA Code: 23D0964215
  • Facility Name: MCLAREN NORTHERN MICHIGAN MEDCENTER-PETOSKEY SOUTH
  • Facility Address: 1890 US 131 SOUTH SUITE 4
    PETOSKEY, MI
    ZIP 49770
  • Facility Phone: 231 487-2000
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: PAUL BLANCHARD
  • NPI Number: 1902419179
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0964215
LAB Type Rural Health Clinic
Facility Name MCLAREN NORTHERN MICHIGAN MEDCENTER-PETOSKEY SOUTH
Street 1890 US 131 SOUTH SUITE 4
City PETOSKEY
State MI
ZIP 49770
Phone 231 487-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Rural Health Clinic
Lab Director PAUL BLANCHARD

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