23D2213965 CLIA NUMBER - THUNDER BAY COMMUNITY HEALTH SERVICE INC - LEWISTON SCHOOL

Laboratory Demographics

CLIA Number: 23D2213965

Facility Name: THUNDER BAY COMMUNITY HEALTH SERVICE INC - LEWISTON SCHOOL

Facility Address:
4580 MONTMORENCY ST
LEWISTON, MI
ZIP 49756
Get Directions

Facility Phone Number: 989 742-4583

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1558730234

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2213965
LAB Type	School/Student Health Service
Facility Name	THUNDER BAY COMMUNITY HEALTH SERVICE INC - LEWISTON SCHOOL
Street	4580 MONTMORENCY ST
City	LEWISTON
State	MI
ZIP	49756
Phone	989 742-4583
CertificateType	4
CertificateEffectiveDate	2/18/2023
CertificateExpirationDate	2/17/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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