23D2330323 CLIA NUMBER - STRAITS AREA DERMATOLOGY CENTER PLC

Laboratory Demographics

  • CLIA Code: 23D2330323
  • Facility Name: STRAITS AREA DERMATOLOGY CENTER PLC
  • Facility Address: 761 LAFAYETTE AVENUE
    CHEBOYGAN, MI
    ZIP 49721
  • Facility Phone: 231 268-3033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILY PTASNIK
  • NPI Number: 1780389734
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 23D2330323
LAB Type Physician Office
Facility Name STRAITS AREA DERMATOLOGY CENTER PLC
Street 761 LAFAYETTE AVENUE
City CHEBOYGAN
State MI
ZIP 49721
Phone 231 268-3033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director EMILY PTASNIK

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