23D2195681 CLIA NUMBER - MUNSON HEALTH CARE DMH LTC

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Laboratory Demographics

CLIA Number: 23D2195681

Facility Name: MUNSON HEALTH CARE DMH LTC

Facility Address:
825 N CENTER AVENUE
GAYLORD, MI
ZIP 49735
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Facility Phone Number: 989 731-2134

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1427064054

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	23D2195681
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	MUNSON HEALTH CARE DMH LTC
Street	825 N CENTER AVENUE
City	GAYLORD
State	MI
ZIP	49735
Phone	989 731-2134
CertificateType	4
CertificateEffectiveDate	10/12/2022
CertificateExpirationDate	10/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024