23D2231473 CLIA NUMBER - STERLING AREA HEALTH CENTER OGEMAW CLINIC

Laboratory Demographics

CLIA Number: 23D2231473

Facility Name: STERLING AREA HEALTH CENTER OGEMAW CLINIC

Facility Address:
1827 E GREENWOOD ROAD
PRESCOTT, MI
ZIP 48756
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Facility Phone Number: 989 873-6200

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1881679645

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2231473
LAB Type	Federally Qualified Health Center
Facility Name	STERLING AREA HEALTH CENTER OGEMAW CLINIC
Street	1827 E GREENWOOD ROAD
City	PRESCOTT
State	MI
ZIP	48756
Phone	989 873-6200
CertificateType	4
CertificateEffectiveDate	8/3/2023
CertificateExpirationDate	8/2/2025
FacilityType	Waiver

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