23D0989159 CLIA NUMBER - GARY S RUOFF, DO, PC

Laboratory Demographics

  • CLIA Code: 23D0989159
  • Facility Name: GARY S RUOFF, DO, PC
  • Facility Address: 201 S GARFIELD AVENUE
    TRAVERSE CITY, MI
    ZIP 49686
  • Facility Phone: 231 935-0580
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GARY S. RUOFF
  • NPI Number: 1073608568
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0989159
LAB Type Physician Office
Facility Name GARY S RUOFF, DO, PC
Street 201 S GARFIELD AVENUE
City TRAVERSE CITY
State MI
ZIP 49686
Phone 231 935-0580
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director GARY S. RUOFF

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