23D2310215 CLIA NUMBER - TRUE NORTH URGENT CARE

Laboratory Demographics

  • CLIA Code: 23D2310215
  • Facility Name: TRUE NORTH URGENT CARE
  • Facility Address: 630 W 14TH STREET
    TRAVERSE CITY, MI
    ZIP 49684
  • Facility Phone: 231 360-3455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN P. VANDER ROEST
  • NPI Number: 1336244656
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 23D2310215
LAB Type Physician Office
Facility Name TRUE NORTH URGENT CARE
Street 630 W 14TH STREET
City TRAVERSE CITY
State MI
ZIP 49684
Phone 231 360-3455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director STEPHEN P. VANDER ROEST

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