23D0982907 CLIA NUMBER - MYMICHIGAN PRIMARY CARE - MAGAZINE

Laboratory Demographics

  • CLIA Code: 23D0982907
  • Facility Name: MYMICHIGAN PRIMARY CARE - MAGAZINE
  • Facility Address: 333 MAGAZINE STREET, SUITE 102
    SAULT SAINTE MARIE, MI
    ZIP 49783
  • Facility Phone: 906 253-9374
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THILAK CHANDER
  • NPI Number: 1194813964
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0982907
LAB Type Physician Office
Facility Name MYMICHIGAN PRIMARY CARE - MAGAZINE
Street 333 MAGAZINE STREET, SUITE 102
City SAULT SAINTE MARIE
State MI
ZIP 49783
Phone 906 253-9374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director THILAK CHANDER

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