23D2087093 CLIA NUMBER - GREAT LAKES HOME HEALTHCARE SPECIALIST

Laboratory Demographics

  • CLIA Code: 23D2087093
  • Facility Name: GREAT LAKES HOME HEALTHCARE SPECIALIST
  • Facility Address: 3281 RACQUET CLUB DRIVE SUITE A
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: 231 421-5036
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JAMES A. HARVEY
  • NPI Number: 1164552972
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 23D2087093
LAB Type Home Health Agency
Facility Name GREAT LAKES HOME HEALTHCARE SPECIALIST
Street 3281 RACQUET CLUB DRIVE SUITE A
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 421-5036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Home Health Agency
Lab Director JAMES A. HARVEY

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