23D2153001 CLIA NUMBER - PACE NORTH

Laboratory Demographics

CLIA Code: 23D2153001
Facility Name: PACE NORTH
Facility Address: 2325 N GARFIELD ROAD
TRAVERSE CITY, MI
ZIP 49686
Facility Phone: 440 567-5385
Facility Type: Community Clinic
Facility Type: Waiver
Lab Director: MARK S. BYLAND
NPI Number: 1194283846
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	23D2153001
LAB Type	Community Clinic
Facility Name	PACE NORTH
Street	2325 N GARFIELD ROAD
City	TRAVERSE CITY
State	MI
ZIP	49686
Phone	440 567-5385
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/21/2024
Certificate Expiration Date	8/20/2026
Facility Type	Community Clinic
Lab Director	MARK S. BYLAND

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