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23D2125421 CLIA NUMBER - MYMICHIGAN OBSTETRICS

Laboratory Demographics

CLIA Number: 23D2125421

Facility Name: MYMICHIGAN OBSTETRICS

Facility Address:
509 OSBORNE BLVD SUITE 120 WAR MEMORIAL MEDICAL BUILDING
SAULT SAINTE MARIE, MI
ZIP 49783
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Facility Phone Number: 906 635-3002

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1295756948

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 23D2125421
LAB Type Physician Office
Facility Name MYMICHIGAN OBSTETRICS
Street 509 OSBORNE BLVD SUITE 120 WAR MEMORIAL MEDICAL BUILDING
City SAULT SAINTE MARIE
State MI
ZIP 49783
Phone 906 635-3002
CertificateType 4
CertificateEffectiveDate 2/7/2023
CertificateExpirationDate 2/6/2025
FacilityType Waiver

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