23D1018230 CLIA NUMBER - SAULT SAINT MARIE CBOC

Laboratory Demographics

  • CLIA Code: 23D1018230
  • Facility Name: SAULT SAINT MARIE CBOC
  • Facility Address: 3440 I-75 BUSINESS SPUR
    SAULT SAINTE MARIE, MI
    ZIP 49783
  • Facility Phone: 906 495-3030
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: THOMAS BRUCKER
  • NPI Number: 1588602254
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1018230
LAB Type Community Clinic
Facility Name SAULT SAINT MARIE CBOC
Street 3440 I-75 BUSINESS SPUR
City SAULT SAINTE MARIE
State MI
ZIP 49783
Phone 906 495-3030
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