23D2204339 CLIA NUMBER - OTSEGO COUNTY SHERIFF'S OFFICE

Laboratory Demographics

  • CLIA Code: 23D2204339
  • Facility Name: OTSEGO COUNTY SHERIFF'S OFFICE
  • Facility Address: 124 S COURT AVE
    GAYLORD, MI
    ZIP 49735
  • Facility Phone: 989 732-3555
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: SCOTT MUSALL
  • NPI Number: 1598212797
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2204339
LAB Type Prison
Facility Name OTSEGO COUNTY SHERIFF'S OFFICE
Street 124 S COURT AVE
City GAYLORD
State MI
ZIP 49735
Phone 989 732-3555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Prison
Lab Director SCOTT MUSALL

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