23D1020435 CLIA NUMBER - MCKENZIE FAMILY HEALTHCARE

Laboratory Demographics

  • CLIA Code: 23D1020435
  • Facility Name: MCKENZIE FAMILY HEALTHCARE
  • Facility Address: 109 DELAWARE STREET
    SANDUSKY, MI
    ZIP 48471
  • Facility Phone: 810 648-9677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HELDA E. SOURESHO
  • NPI Number: 1932747946
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D1020435
LAB Type Physician Office
Facility Name MCKENZIE FAMILY HEALTHCARE
Street 109 DELAWARE STREET
City SANDUSKY
State MI
ZIP 48471
Phone 810 648-9677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director HELDA E. SOURESHO

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