23D0372896 CLIA NUMBER - FENTON CLINIC

Laboratory Demographics

  • CLIA Code: 23D0372896
  • Facility Name: FENTON CLINIC
  • Facility Address: 201 E CAROLINE STREET
    FENTON, MI
    ZIP 48430
  • Facility Phone: 810 629-4187
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH L. TROLLMAN
  • NPI Number: 1699949610
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0372896
LAB Type Physician Office
Facility Name FENTON CLINIC
Street 201 E CAROLINE STREET
City FENTON
State MI
ZIP 48430
Phone 810 629-4187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Physician Office
Lab Director JOSEPH L. TROLLMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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