23D2214349 CLIA NUMBER - NORTHERN MICHIGAN VEIN SPECIALISTS

Laboratory Demographics

  • CLIA Code: 23D2214349
  • Facility Name: NORTHERN MICHIGAN VEIN SPECIALISTS
  • Facility Address: 880 MUNSON AVENUE SUITE A
    TRAVERSE CITY, MI
    ZIP 49686
  • Facility Phone: 231 946-1492
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN D. HEERINGA
  • NPI Number: 1023486867
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D2214349
LAB Type Physician Office
Facility Name NORTHERN MICHIGAN VEIN SPECIALISTS
Street 880 MUNSON AVENUE SUITE A
City TRAVERSE CITY
State MI
ZIP 49686
Phone 231 946-1492
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director BRIAN D. HEERINGA

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