23D2298718 CLIA NUMBER - CADILLAC OCCUPATIONAL HEALTH & MEDICINE

Laboratory Demographics

  • CLIA Code: 23D2298718
  • Facility Name: CADILLAC OCCUPATIONAL HEALTH & MEDICINE
  • Facility Address: 803 LYNN STREET
    CADILLAC, MI
    ZIP 49601
  • Facility Phone: 231 876-6180
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DARRYL F. LESOSKI
  • NPI Number: 1841223948
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2298718
LAB Type Practitioner Other
Facility Name CADILLAC OCCUPATIONAL HEALTH & MEDICINE
Street 803 LYNN STREET
City CADILLAC
State MI
ZIP 49601
Phone 231 876-6180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Practitioner Other
Lab Director DARRYL F. LESOSKI

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