23D1018226 CLIA NUMBER - IRONWOOD CBOC

Laboratory Demographics

  • CLIA Code: 23D1018226
  • Facility Name: IRONWOOD CBOC
  • Facility Address: 629 W CLOVERLAND DR
    IRONWOOD, MI
    ZIP 49938
  • Facility Phone: 906 932-0032
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: THOMAS BRUCKER
  • NPI Number: 1720028319
  • Taxonomy: 261QV0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D1018226
LAB Type Community Clinic
Facility Name IRONWOOD CBOC
Street 629 W CLOVERLAND DR
City IRONWOOD
State MI
ZIP 49938
Phone 906 932-0032
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/16/2003
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director THOMAS BRUCKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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