23D2206420 CLIA NUMBER - HERITAGE HEALTH, PC

Laboratory Demographics

  • CLIA Code: 23D2206420
  • Facility Name: HERITAGE HEALTH, PC
  • Facility Address: 1007 HARBOR HILLS DRIVE SUITE B
    MARQUETTE, MI
    ZIP 49855
  • Facility Phone: 616 260-0086
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAWNA GLEASON
  • NPI Number: 1194329961
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2206420
LAB Type Physician Office
Facility Name HERITAGE HEALTH, PC
Street 1007 HARBOR HILLS DRIVE SUITE B
City MARQUETTE
State MI
ZIP 49855
Phone 616 260-0086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director SHAWNA GLEASON

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