23D1107439 CLIA NUMBER - MACKINAC STRAITS HEALTH SYSTEM

Laboratory Demographics

CLIA Number: 23D1107439

Facility Name: MACKINAC STRAITS HEALTH SYSTEM

Facility Address:
420 S NICOLET STREET
MACKINAW CITY, MI
ZIP 49701
Get Directions

Facility Phone Number: 906 643-0412

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1245554914

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1107439
LAB Type	Rural Health Clinic
Facility Name	MACKINAC STRAITS HEALTH SYSTEM
Street	420 S NICOLET STREET
City	MACKINAW CITY
State	MI
ZIP	49701
Phone	906 643-0412
CertificateType	4
CertificateEffectiveDate	1/28/2024
CertificateExpirationDate	1/27/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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