23D0372860 CLIA NUMBER - DECKERVILLE HEALTHCARE SERVICES

Laboratory Demographics

  • CLIA Code: 23D0372860
  • Facility Name: DECKERVILLE HEALTHCARE SERVICES
  • Facility Address: 3559 PINE ST
    DECKERVILLE, MI
    ZIP 48427
  • Facility Phone: 810 376-7010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LONG NGUYEN
  • NPI Number: 1780011247
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0372860
LAB Type Physician Office
Facility Name DECKERVILLE HEALTHCARE SERVICES
Street 3559 PINE ST
City DECKERVILLE
State MI
ZIP 48427
Phone 810 376-7010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director LONG NGUYEN

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