23D2027697 CLIA NUMBER - HEALTH DEPARTMENT OF NORTHWEST MICHIGAN

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Laboratory Demographics

CLIA Number: 23D2027697

Facility Name: HEALTH DEPARTMENT OF NORTHWEST MICHIGAN

Facility Address:
220 W GARFIELD AVENUE
CHARLEVOIX, MI
ZIP 49720
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Facility Phone Number: 800 432-4121

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1932116191

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	23D2027697
LAB Type	Public Health Laboratories
Facility Name	HEALTH DEPARTMENT OF NORTHWEST MICHIGAN
Street	220 W GARFIELD AVENUE
City	CHARLEVOIX
State	MI
ZIP	49720
Phone	800 432-4121
CertificateType	4
CertificateEffectiveDate	10/5/2022
CertificateExpirationDate	10/4/2024
FacilityType	Waiver

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