23D2141797 CLIA NUMBER - MUNSON HEALTHCARE GRAYLING MILTOWN

Laboratory Demographics

  • CLIA Code: 23D2141797
  • Facility Name: MUNSON HEALTHCARE GRAYLING MILTOWN
  • Facility Address: 1200 W NORTH DOWN RIVER ROAD
    GRAYLING, MI
    ZIP 49738
  • Facility Phone: 989 348-0550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FERDINAND KORNELI
  • NPI Number: 1689050858
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2141797
LAB Type Physician Office
Facility Name MUNSON HEALTHCARE GRAYLING MILTOWN
Street 1200 W NORTH DOWN RIVER ROAD
City GRAYLING
State MI
ZIP 49738
Phone 989 348-0550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director FERDINAND KORNELI

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