23D1024697 CLIA NUMBER - SUPERIOR WALK IN CENTER

Laboratory Demographics

  • CLIA Code: 23D1024697
  • Facility Name: SUPERIOR WALK IN CENTER
  • Facility Address: 1504 SAND POINT ROAD
    MUNISING, MI
    ZIP 49862
  • Facility Phone: 906 387-4220
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK OLSON MD
  • NPI Number: 1497806418
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1024697
LAB Type Physician Office
Facility Name SUPERIOR WALK IN CENTER
Street 1504 SAND POINT ROAD
City MUNISING
State MI
ZIP 49862
Phone 906 387-4220
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 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director MARK OLSON MD

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