23D1064223 CLIA NUMBER - MACKINAW SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 23D1064223
  • Facility Name: MACKINAW SURGERY CENTER LLC
  • Facility Address: 5400 MACKINAW ROAD
    SAGINAW, MI
    ZIP 48604
  • Facility Phone: 989 583-5205
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES R. WEIR
  • NPI Number: 1780747733
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1064223
LAB Type Ambulatory Surgery Center
Facility Name MACKINAW SURGERY CENTER LLC
Street 5400 MACKINAW ROAD
City SAGINAW
State MI
ZIP 48604
Phone 989 583-5205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Ambulatory Surgery Center
Lab Director JAMES R. WEIR

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