23D2157038 CLIA NUMBER - PETOSKEY SURGEONS, PC

Laboratory Demographics

  • CLIA Code: 23D2157038
  • Facility Name: PETOSKEY SURGEONS, PC
  • Facility Address: 521 MONROE STREET
    PETOSKEY, MI
    ZIP 49770
  • Facility Phone: 231 487-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN M. MARKHAM
  • NPI Number: 1730145574
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D2157038
LAB Type Physician Office
Facility Name PETOSKEY SURGEONS, PC
Street 521 MONROE STREET
City PETOSKEY
State MI
ZIP 49770
Phone 231 487-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director KEVIN M. MARKHAM

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