23D1006421 CLIA NUMBER - MCLAREN THUMB 1011 BUILDING

Laboratory Demographics

  • CLIA Code: 23D1006421
  • Facility Name: MCLAREN THUMB 1011 BUILDING
  • Facility Address: 1011 S VAN DYKE ROAD
    BAD AXE, MI
    ZIP 48413
  • Facility Phone: 989 269-5268
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: OLIVIA THIEL
  • NPI Number: 1083772826
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1006421
LAB Type Rural Health Clinic
Facility Name MCLAREN THUMB 1011 BUILDING
Street 1011 S VAN DYKE ROAD
City BAD AXE
State MI
ZIP 48413
Phone 989 269-5268
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Rural Health Clinic
Lab Director OLIVIA THIEL

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