23D0982907 CLIA NUMBER - MYMICHIGAN PRIMARY CARE - MAGAZINE

Laboratory Demographics

CLIA Number: 23D0982907

Facility Name: MYMICHIGAN PRIMARY CARE - MAGAZINE

Facility Address:
333 MAGAZINE STREET, SUITE 102
SAULT SAINTE MARIE, MI
ZIP 49783
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Facility Phone Number: 906 253-9374

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194813964

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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