23D2043774 CLIA NUMBER - THUNDER BAY COM HEALTH SERVICE INC HILLMAN ELEM SCHOOL

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Laboratory Demographics

CLIA Number: 23D2043774

Facility Name: THUNDER BAY COM HEALTH SERVICE INC HILLMAN ELEM SCHOOL

Facility Address:
245 E THIRD STREET
HILLMAN, MI
ZIP 49746
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Facility Phone Number: 989 785-4855

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1639123623

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2043774
LAB Type	Federally Qualified Health Center
Facility Name	THUNDER BAY COM HEALTH SERVICE INC HILLMAN ELEM SCHOOL
Street	245 E THIRD STREET
City	HILLMAN
State	MI
ZIP	49746
Phone	989 785-4855
CertificateType	3
CertificateEffectiveDate	7/10/2022
CertificateExpirationDate	7/9/2024
FacilityType	PPMP

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