23D2099692 CLIA NUMBER - PICKFORD MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 23D2099692
  • Facility Name: PICKFORD MEDICAL CENTER
  • Facility Address: 416 N M-129
    PICKFORD, MI
    ZIP 49774
  • Facility Phone: 906 647-2217
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: JEFFREY G. COSTAIN
  • NPI Number: 1164644704
  • Taxonomy: 341600000X - Ambulance

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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
City PICKFORD
State MI
ZIP 49774
Phone 906 647-2217
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Federally Qualified Health Center
Lab Director JEFFREY G. COSTAIN

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