23D2289909 CLIA NUMBER - CARDIAC & VASCULAR CONSULTANTS OF NORTHERN MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D2289909
  • Facility Name: CARDIAC & VASCULAR CONSULTANTS OF NORTHERN MICHIGAN
  • Facility Address: 3865 W FRONT STREET SUITES 4 & 5
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: 231 252-0414
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERTO CORPUS
  • NPI Number: 1245916709
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2289909
LAB Type Physician Office
Facility Name CARDIAC & VASCULAR CONSULTANTS OF NORTHERN MICHIGAN
Street 3865 W FRONT STREET SUITES 4 & 5
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 252-0414
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director ROBERTO CORPUS

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