23D0367748 CLIA NUMBER - MERWIN LEE JENKINS DO

Laboratory Demographics

CLIA Number: 23D0367748

Facility Name: MERWIN LEE JENKINS DO

Facility Address:
31410 JOY ROAD
LIVONIA, MI
ZIP 48150
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Facility Phone Number: 313 425-6950

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1184884074

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	23D0367748
LAB Type	Physician Office
Facility Name	MERWIN LEE JENKINS DO
Street	31410 JOY ROAD
City	LIVONIA
State	MI
ZIP	48150
Phone	313 425-6950
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024