23D2099692 CLIA NUMBER - PICKFORD MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 23D2099692

Facility Name: PICKFORD MEDICAL CENTER

Facility Address:
416 N M-129 P O BOX 506
PICKFORD, MI
ZIP 49774
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Facility Phone Number: 989 736-8157

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1164644704

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	23D2099692
LAB Type	Federally Qualified Health Center
Facility Name	PICKFORD MEDICAL CENTER
Street	416 N M-129 P O BOX 506
City	PICKFORD
State	MI
ZIP	49774
Phone	989 736-8157
CertificateType	4
CertificateEffectiveDate	7/31/2023
CertificateExpirationDate	7/30/2025
FacilityType	Waiver

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