23D1002149 CLIA NUMBER - MCLAREN THUMB REGION PORT AUSTIN PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 23D1002149
  • Facility Name: MCLAREN THUMB REGION PORT AUSTIN PRIMARY CARE
  • Facility Address: 24 E SPRING STREET
    PORT AUSTIN, MI
    ZIP 48467
  • Facility Phone: (989) 738-5222
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: OLIVIA THIEL
  • NPI Number: 1558616086
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1002149
LAB Type Rural Health Clinic
Facility Name MCLAREN THUMB REGION PORT AUSTIN PRIMARY CARE
Street 24 E SPRING STREET
City PORT AUSTIN
State MI
ZIP 48467
Phone 9897385222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Rural Health Clinic
Lab Director OLIVIA THIEL

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This page was last updated on: 5/18/2026