23D2144873 CLIA NUMBER - NORTHERN EYE CARE ASSOCIATES, P C

Laboratory Demographics

  • CLIA Code: 23D2144873
  • Facility Name: NORTHERN EYE CARE ASSOCIATES, P C
  • Facility Address: 200 FAIRBANKS STREET
    IRON MOUNTAIN, MI
    ZIP 49801
  • Facility Phone: 906 774-8280
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEAU D. POQUETTE
  • NPI Number: 1699051193
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 23D2144873
LAB Type Physician Office
Facility Name NORTHERN EYE CARE ASSOCIATES, P C
Street 200 FAIRBANKS STREET
City IRON MOUNTAIN
State MI
ZIP 49801
Phone 906 774-8280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director BEAU D. POQUETTE

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