23D2222061 CLIA NUMBER - WOLVERINE HUMAN SERVICES

Laboratory Demographics

  • CLIA Code: 23D2222061
  • Facility Name: WOLVERINE HUMAN SERVICES
  • Facility Address: 1015 COMMERCE DRIVE PO BOX 188
    VASSAR, MI
    ZIP 48768
  • Facility Phone: 989 823-3040
  • Facility Type: Other - CHILD CARING INSTITUTION
  • Facility Type: Waiver
  • Lab Director: PAUL WHITNEY
  • NPI Number: 1891978441
  • Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2222061
LAB Type Other - CHILD CARING INSTITUTION
Facility Name WOLVERINE HUMAN SERVICES
Street 1015 COMMERCE DRIVE PO BOX 188
City VASSAR
State MI
ZIP 48768
Phone 989 823-3040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Other - CHILD CARING INSTITUTION
Lab Director PAUL WHITNEY

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