23D2207411 CLIA NUMBER - HARBOR HALL, INC

Laboratory Demographics

  • CLIA Code: 23D2207411
  • Facility Name: HARBOR HALL, INC
  • Facility Address: 704 EMMET ST
    PETOSKEY, MI
    ZIP 49770
  • Facility Phone: 231 347-5511
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: GUY GOLEMBIEWSKI
  • NPI Number: 1851865638
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2207411
LAB Type Federally Qualified Health Center
Facility Name HARBOR HALL, INC
Street 704 EMMET ST
City PETOSKEY
State MI
ZIP 49770
Phone 231 347-5511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Federally Qualified Health Center
Lab Director GUY GOLEMBIEWSKI

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