23D2196594 CLIA NUMBER - OSF HEALTHCARE DANIEL J KOBASIC CANCER CENTER

Laboratory Demographics

  • CLIA Code: 23D2196594
  • Facility Name: OSF HEALTHCARE DANIEL J KOBASIC CANCER CENTER
  • Facility Address: 3501 LUDINGTON STREET
    ESCANABA, MI
    ZIP 49829
  • Facility Phone: 906 233-4140
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARY A. GOTTLIEB
  • NPI Number: 1063587046
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2196594
LAB Type Physician Office
Facility Name OSF HEALTHCARE DANIEL J KOBASIC CANCER CENTER
Street 3501 LUDINGTON STREET
City ESCANABA
State MI
ZIP 49829
Phone 906 233-4140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director CARY A. GOTTLIEB

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