23D1098656 CLIA NUMBER - UPPER GREAT LAKES FAMILY HEALTH CENTER SAWYER

Laboratory Demographics

CLIA Number: 23D1098656

Facility Name: UPPER GREAT LAKES FAMILY HEALTH CENTER SAWYER

Facility Address:
301 EXPLORER
GWINN, MI
ZIP 49841
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Facility Phone Number: 906 346-4924

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1255755757

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1098656
LAB Type	Federally Qualified Health Center
Facility Name	UPPER GREAT LAKES FAMILY HEALTH CENTER SAWYER
Street	301 EXPLORER
City	GWINN
State	MI
ZIP	49841
Phone	906 346-4924
CertificateType	3
CertificateEffectiveDate	4/24/2023
CertificateExpirationDate	4/23/2025
FacilityType	PPMP

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