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23D0372485 CLIA NUMBER - M-15 FAMILY MEDICAL CTR

Laboratory Demographics

CLIA Number: 23D0372485

Facility Name: M-15 FAMILY MEDICAL CTR

Facility Address:
7736 ORTONVILLE RD SUITE A
CLARKSTON, MI
ZIP 48348
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Facility Phone Number: 248 625-5885

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1811962376

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 23D0372485
LAB Type Physician Office
Facility Name M-15 FAMILY MEDICAL CTR
Street 7736 ORTONVILLE RD SUITE A
City CLARKSTON
State MI
ZIP 48348
Phone 248 625-5885
CertificateType 4
CertificateEffectiveDate 2/2/2024
CertificateExpirationDate 2/1/2026
FacilityType Waiver

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