23D2205160 CLIA NUMBER - CHARLEVOIX ELEMENTARY SCHOOL

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Laboratory Demographics

CLIA Number: 23D2205160

Facility Name: CHARLEVOIX ELEMENTARY SCHOOL

Facility Address:
108 EAST GARFIELD ST
CHARLEVOIX, MI
ZIP 49720
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Facility Phone Number: 231 547-8188

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1508229980

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	23D2205160
LAB Type	School/Student Health Service
Facility Name	CHARLEVOIX ELEMENTARY SCHOOL
Street	108 EAST GARFIELD ST
City	CHARLEVOIX
State	MI
ZIP	49720
Phone	231 547-8188
CertificateType	4
CertificateEffectiveDate	12/13/2022
CertificateExpirationDate	12/12/2024
FacilityType	Waiver

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