23D1018229 CLIA NUMBER - MARQUETTE CBOC

Laboratory Demographics

  • CLIA Code: 23D1018229
  • Facility Name: MARQUETTE CBOC
  • Facility Address: 425 FISHER STREET
    MARQUETTE, MI
    ZIP 49855
  • Facility Phone: 906 226-4618
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: THOMAS BRUCKER
  • NPI Number: 1467663153
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 23D1018229
LAB Type Community Clinic
Facility Name MARQUETTE CBOC
Street 425 FISHER STREET
City MARQUETTE
State MI
ZIP 49855
Phone 906 226-4618
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

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