23D1014832 CLIA NUMBER - LAURIUM WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 23D1014832
  • Facility Name: LAURIUM WELLNESS CENTER
  • Facility Address: 300 HECLA STREET
    LAURIUM, MI
    ZIP 49913
  • Facility Phone: 906 337-9355
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BONNIE L. HAFEMAN
  • NPI Number: 1942421656
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1014832
LAB Type Physician Office
Facility Name LAURIUM WELLNESS CENTER
Street 300 HECLA STREET
City LAURIUM
State MI
ZIP 49913
Phone 906 337-9355
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 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Physician Office
Lab Director BONNIE L. HAFEMAN

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