23D2184469 CLIA NUMBER - UPPER PENINSULA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 23D2184469
  • Facility Name: UPPER PENINSULA SURGERY CENTER
  • Facility Address: 1414 W FAIR AVENUE SUITE 235
    MARQUETTE, MI
    ZIP 49855
  • Facility Phone: 906 273-2223
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ZACHARY C. LEONARD
  • NPI Number: 1619252442
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 23D2184469
LAB Type Ambulatory Surgery Center
Facility Name UPPER PENINSULA SURGERY CENTER
Street 1414 W FAIR AVENUE SUITE 235
City MARQUETTE
State MI
ZIP 49855
Phone 906 273-2223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Ambulatory Surgery Center
Lab Director ZACHARY C. LEONARD

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