23D2294120 CLIA NUMBER - ALCONA HEALTH CENTER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D2294120
  • Facility Name: ALCONA HEALTH CENTER PEDIATRICS
  • Facility Address: 1209 US 23 N
    ALPENA, MI
    ZIP 49707
  • Facility Phone: 989 736-8157
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JOHN C. MACMASTER
  • NPI Number: 1962775080
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D2294120
LAB Type Federally Qualified Health Center
Facility Name ALCONA HEALTH CENTER PEDIATRICS
Street 1209 US 23 N
City ALPENA
State MI
ZIP 49707
Phone 989 736-8157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Federally Qualified Health Center
Lab Director JOHN C. MACMASTER

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This page was last updated on: 6/4/2025