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23D2028514 CLIA NUMBER - CHIPPEWA COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 23D2028514

Facility Name: CHIPPEWA COUNTY HEALTH DEPARTMENT

Facility Address:
508 ASHMUN STREET SUITE 120
SAULT SAINTE MARIE, MI
ZIP 49783
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Facility Phone Number: 906 635-1566

Facility Type: Public Health Laboratories

Certificate Type: Microscopy
NPI Number: 1639291933

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 23D2028514
LAB Type Public Health Laboratories
Facility Name CHIPPEWA COUNTY HEALTH DEPARTMENT
Street 508 ASHMUN STREET SUITE 120
City SAULT SAINTE MARIE
State MI
ZIP 49783
Phone 906 635-1566
CertificateType 3
CertificateEffectiveDate 8/18/2023
CertificateExpirationDate 8/17/2025
FacilityType PPMP

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