23D1007330 CLIA NUMBER - RA2 PC

Laboratory Demographics

  • CLIA Code: 23D1007330
  • Facility Name: RA2 PC
  • Facility Address: 81 S I-75 BUSINESS LOOP
    GRAYLING, MI
    ZIP 49738
  • Facility Phone: 989 348-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RACHEL A. AMSTERBURG
  • NPI Number: 1689697930
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 23D1007330
LAB Type Physician Office
Facility Name RA2 PC
Street 81 S I-75 BUSINESS LOOP
City GRAYLING
State MI
ZIP 49738
Phone 989 348-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director RACHEL A. AMSTERBURG

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