23D2002201 CLIA NUMBER - MCLAREN CENTRAL MICHIGAN DBA PICKARD STREET

Laboratory Demographics

  • CLIA Code: 23D2002201
  • Facility Name: MCLAREN CENTRAL MICHIGAN DBA PICKARD STREET
  • Facility Address: 5115 E PICKARD ST
    MOUNT PLEASANT, MI
    ZIP 48858
  • Facility Phone: 989 289-0389
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TAMARA MOUTSATSON
  • NPI Number: 1053329086
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2002201
LAB Type Rural Health Clinic
Facility Name MCLAREN CENTRAL MICHIGAN DBA PICKARD STREET
Street 5115 E PICKARD ST
City MOUNT PLEASANT
State MI
ZIP 48858
Phone 989 289-0389
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Rural Health Clinic
Lab Director TAMARA MOUTSATSON

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