23D2178150 CLIA NUMBER - CRAWFORD COUNTY JAIL, MI

Laboratory Demographics

  • CLIA Code: 23D2178150
  • Facility Name: CRAWFORD COUNTY JAIL, MI
  • Facility Address: 200 W MICHIGAN AVENUE
    GRAYLING, MI
    ZIP 49738
  • Facility Phone: 989 344-3217
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. GAMMICCHIA
  • NPI Number: 1255518197
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 23D2178150
LAB Type Prison
Facility Name CRAWFORD COUNTY JAIL, MI
Street 200 W MICHIGAN AVENUE
City GRAYLING
State MI
ZIP 49738
Phone 989 344-3217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Prison
Lab Director MICHAEL D. GAMMICCHIA

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