23D2104578 CLIA NUMBER - GREAT LAKES BAY HEALTH CENTERS OLD TOWN

Laboratory Demographics

  • CLIA Code: 23D2104578
  • Facility Name: GREAT LAKES BAY HEALTH CENTERS OLD TOWN
  • Facility Address: 700 COURT STREET
    SAGINAW, MI
    ZIP 48602
  • Facility Phone: 989 921-5372
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DOUGLAS J. SAYLOR
  • NPI Number: 1235483900
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2104578
LAB Type Federally Qualified Health Center
Facility Name GREAT LAKES BAY HEALTH CENTERS OLD TOWN
Street 700 COURT STREET
City SAGINAW
State MI
ZIP 48602
Phone 989 921-5372
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 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Federally Qualified Health Center
Lab Director DOUGLAS J. SAYLOR

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This page was last updated on: 6/4/2025