23D2119620 CLIA NUMBER - TRU NORTH DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 23D2119620
  • Facility Name: TRU NORTH DERMATOLOGY
  • Facility Address: 315 OAK GROVE ST
    MANISTEE, MI
    ZIP 49660
  • Facility Phone: 231 299-8900
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DOUGLAS M. RICHLEY
  • NPI Number: 1366906364
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D2119620
LAB Type Physician Office
Facility Name TRU NORTH DERMATOLOGY
Street 315 OAK GROVE ST
City MANISTEE
State MI
ZIP 49660
Phone 231 299-8900
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Physician Office
Lab Director DOUGLAS M. RICHLEY

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