23D2205160 CLIA NUMBER - CHARLEVOIX ELEMENTARY SCHOOL

Laboratory Demographics

  • CLIA Code: 23D2205160
  • Facility Name: CHARLEVOIX ELEMENTARY SCHOOL
  • Facility Address: 108 EAST GARFIELD ST
    CHARLEVOIX, MI
    ZIP 49720
  • Facility Phone: 231 547-8188
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JAIME L. MOOAR
  • NPI Number: 1508229980
  • Taxonomy: 174400000X - Specialist

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type School/Student Health Service
Lab Director JAIME L. MOOAR

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