23D1077423 CLIA NUMBER - ONTONAGON FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 23D1077423

Facility Name: ONTONAGON FAMILY HEALTH CENTER

Facility Address:
715 S 7TH STREET
ONTONAGON, MI
ZIP 49953
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Facility Phone Number: 906 884-4120

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1790837177

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	23D1077423
LAB Type	Federally Qualified Health Center
Facility Name	ONTONAGON FAMILY HEALTH CENTER
Street	715 S 7TH STREET
City	ONTONAGON
State	MI
ZIP	49953
Phone	906 884-4120
CertificateType	4
CertificateEffectiveDate	7/31/2023
CertificateExpirationDate	7/30/2025
FacilityType	Waiver

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