23D1025617 CLIA NUMBER - ASPIRUS CRYSTAL FALLS CLINIC

Laboratory Demographics

CLIA Number: 23D1025617

Facility Name: ASPIRUS CRYSTAL FALLS CLINIC

Facility Address:
1328 U S HIGHWAY 2 PO BOX 60
CRYSTAL FALLS, MI
ZIP 49920
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Facility Phone Number: 906 875-4486

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1356699318

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1025617
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	ASPIRUS CRYSTAL FALLS CLINIC
Street	1328 U S HIGHWAY 2 PO BOX 60
City	CRYSTAL FALLS
State	MI
ZIP	49920
Phone	906 875-4486
CertificateType	4
CertificateEffectiveDate	5/12/2024
CertificateExpirationDate	5/11/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024