23D0994883 CLIA NUMBER - JEFFREY PETERMAN, MD, PC

Laboratory Demographics

  • CLIA Code: 23D0994883
  • Facility Name: JEFFREY PETERMAN, MD, PC
  • Facility Address: 709 JOHNSTON ST
    SAULT SAINTE MARIE, MI
    ZIP 49783
  • Facility Phone: 906 253-9374
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY R. PETERMAN
  • NPI Number: 1184712432
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0994883
LAB Type Physician Office
Facility Name JEFFREY PETERMAN, MD, PC
Street 709 JOHNSTON ST
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 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director JEFFREY R. PETERMAN

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